HomeMy WebLinkAbout2821 BRUNDAGE LANE_HMBP 2.26.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory. Program
Prevention Services
R . E_R S,F t o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 73979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
❑
ADDRESS
PHONE N0.
NO OF EMPLOYEES
Z-4SZ 1 >�
---- -�
-e--
FACILITY CONTACT
—
BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021 -
`Sealon 1 " Buslnes`s Plan and Inventory_ .Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AG
ENCY � ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
❑
❑
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
❑
❑
VERIFICATION OF HAZ MAT TRAINING
❑
❑
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? ❑ YES ❑ NO
- I A(� YA
QUESTION R ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspe or (Plea Fire Prevention Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05