HomeMy WebLinkAbout2201 R Street_HMBP 5.6.10wow Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST a A r. R S F , n 900 Truxtun Ave., suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ` ° aRrM Tel.:. (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME ^ � �
'r)c�,se�
INSPE¢TION DATE
5/ 4 �� io
INSPECTION TIME
ADDRESS 1 ,
Sv^ 1,.•
PHONE NO.
NO OF EMPLOYEES .
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
�$;"` i �'°.,a •
N
r
section 1 B_usin s Plan °and lnve_nto hry Program
❑
❑
APPROPRIATE PERMIT ON HAND
ROUTINE
❑
COMBINED ❑ JOINTAGENCY'� ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
❑
VISIBLE ADDRESS
AS ^
L
2 v
❑
❑
CORRECT OCCUPANCY
❑
❑
VERIFICATION OF INVENTORY MATERIALS
❑
❑
VERIFICATION OF QUANTITIES
❑
❑
VERIFICATION OF LOCATION
❑
❑
PROPER SEGREGATION OF MATERIAL
❑
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
VERIFICATION OF HAZ MAT TRAINING
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
❑
EMERGENCY PROCEDURES ADEQUATE
❑
❑
CONTAINERS PROPERLY LABELED
❑
❑
HOUSEKEEPING
❑
❑
FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
Q �, REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
�l \i \tom ^(� IF--liA [�)
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05