HomeMy WebLinkAbout2211 MT. VERNON AVENUE_HMBP 4.7.10UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
a e R s F r o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory ^Program i A R FN r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME I—%
L eG /� �-e�rt�
INSPECTION DATE
y -1 -10
INSPECTION TIME
31a /K,( x/
ADDRESS
221 ��� E2N�,�
HONE NO.
a -2( z
NO OF EMPLOYEES
a
FACILITY CONTACT
R ,) S l�1 Ii 1� �1 t
BUSINESS ID NUMBER
15 -021-
Section 1 Business Plan and Inventory'Pr- gram
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSRIeSs PLAN CONTACT INFORMATION ACCURATE
I� ❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑ ❑
VERIFICATION OF INVENTORY MATERIALS
Q
❑
VERIFICATION OF QUANTITIES
C� ❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
11 ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
0 ❑
EMERGENCY PROCEDURES ADEQUATE
11 El
/�
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
'() 1 ��N --
Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station # �in Site / Responsi rty (Please
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05