HomeMy WebLinkAbout223 18th Street_HMBP 5.10.10UNIFIED PROGRAM INSPECTION..CHECKLIST rI _prevention Services
a_ F_R s_,.,., 0 900 IYuxtun Ave., Suite 210
=-- - — - FIRE Bdkersfield, CA 93301
SECTION 1: Business Plan-and Inventory Program D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION ATE
INSPECTION TIME
ADDRESS
2.2-3 E 1�7�
PHONE NO.
8�3 -pe78
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
❑ CORRECT OCCUPANCY
15 -021-
e
Section 1 BusmessPtanand Inventory Program _
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY:' ❑ COMPLAINT ❑ �RE-INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
R( ❑ APPROPRIATE PERMIT ON HAND
0 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES.
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ . VERIFICATION OF MSDS AVAILABILITY
Rf ❑ VERIFICATION OF HAZ MAT TRAINING
Ef ❑ 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?
EXPLAIN:
❑ YES 2 NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
f3p W L.ES Q lf'%LI S 2
y Business Site / Responsible Pa Please Print
Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # p m' ( )
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05