HomeMy WebLinkAbout2611 G STREET_HMBP 5.19.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
e R s F, 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME � /
L
INSPECTION D TE
INSPECTION TIME
50
COMMENTS
-0
11
ADDRESS
PHONE NO.
- gzs r
NO OF EMPLOYEES
FACILITY CONTACT
Pei- Perez
BUSINESS ID NUMBER
15 -O21
Section 1: Business Plan and Inventory Program
ff ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
-0
11
APPROPRIATE PERMIT ON HAND
IJ J
❑
Business PLAN CONTACT INFORMATION ACCURATE
V
❑
VISIBLE ADDRESS
9�
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
3
❑
VERIFICATION OF MSDS AVAILABILITY
EJ
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
E 1
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? IJ YES ❑ NO
EXPLAIN:
QUE TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
7
if St
Inspector (Please Prin) Fire Prevention / 1" In /Shift of Site /Station # u ' � ss /Site / Responsible Party (Ple Print) (t I
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05