HomeMy WebLinkAbout230 21st Street_hmbp 6.1.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
� Prevention Services
B_ l F R S t' 1 n 900 Truxtun Ave:,. Suite 210
FIRE Bakersfield, CA 93301
v ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
�
INSPECTION DATE
INSPECTION TIME
/O
l &lr l TFD
,Er—El Business PLAN CONTACT INFORMATION ACCURATE
cm
ADDRESS
,Z30 E. 2r sT r
PHONE NO.
, 3;Z2
NO OF EMPLOYEES
> 3
FACILITY CONTACT
✓✓� S
BUS NESS ID NUMBER
15- 021 -c�c�
4,-� ✓
VERIFICATION OF QUANTITIES
Section:1 Business Plan Viand Inyentoery Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑. RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
faFelmen,
,Er—El Business PLAN CONTACT INFORMATION ACCURATE
0' El VISIBLE ADDRESS
.rl ❑ CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
,j O. VERIFICATION OF LOCATION
, `-' PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
O VERIFICATION OF HAZ MAT TRAINING
>_el�o 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:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 /
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Resp
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05