HomeMy WebLinkAbout205 RIO BRAVO DRIVE_HMBP 6.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
I
Prevention Services
R n R S r I ._D_ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE)
INSPECTION TIME
/
I K
6 � /
0
ADDRESS
PHOKE NO.
NO OF EMPLOYEES
v
- a
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15-021 -
M
❑
",. Section 1 Business Plar and Inventory Program.
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qL ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
L;K�
❑
APPROPRIATE PERMIT ON HAND
Ili-
❑
Business PLAN CONTACT INFORMATION ACCURATE
ffN
❑
VISIBLE ADDRESS
M
❑
CORRECT OCCUPANCY
B
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
IL
❑
VERIFICATION OF LOCATION
— ❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
IA
❑
EMERGENCY PROCEDURES ADEQUATE
09
❑
CONTAINERS PROPERLY LABELED
P,
❑ ,
HOUSEKEEPING
�+
❑
FIRE PROTECTION
jo
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES [�P
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1' In / Shift of Site /Station # Business 'Site / Rdsponsible Party (Please Print
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05