HomeMy WebLinkAbout2631 M Street_HMBP 11.18.09UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
0 a/
ADDRESS
PHOXE NO.
32S 1,053,
O OF EMPLOYEES
_S-_
FACILITY CONTACT
�-Oc .
BUSINESS ID NUMBER
15-021-0
S' ection 1,:�" Bu -sines s Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
V= Violation
COMMENTS
a2 ❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
1:1
CORRECT OCCUPANCY
�/
T7 ❑
VERIFICATION OF INVENTORY MATERIALS
M 1
V
❑
VERIFICATION OF QUANTITIES
121 ❑
VERIFICATION OF LOCATION
1
❑
PROPER SEGREGATION OF MATERIAL
LP-1"11
VERIFICATION OF MSDS AVAILABILITY
6L'7 ❑
VERIFICATION OF HAZ MAT TRAINING
E ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L ❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
�OW� LS�
Ne S
�❑
I� ❑
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
0� '5 j� qc `
Inspector (Please Print) Fire Prevention / 1st In / Shift of Site /Station # Busines esponsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy
isana�u�:
FD 2155 (Rev. 09/05