HomeMy WebLinkAbout3070 BRUNDAGE LANE_HMBP 1.29.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B I E R S F I 900Truxtun.Ave., Suite 21.0
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME �.
INSPECTION DATE
INSPECTION TIME
t. 1
1'T \r 10
, %r _
ADDRESS
PHONE NO.
3 �z '�-I'z
NO OF EMPLOYEES
❑
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT
BUSINESS ID NUMBER
°
15- 021 -
a -
ti n A, Business Plan and InventoFry Programiav
e
ROUTINE ❑ COMBINED ❑JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
'&I
❑
VISIBLE ADDRESS
14
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
I
❑
VERIFICATION OF MSDS AVAILABILITY•
i
i
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
"f(?7
�❑
❑
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
'IVES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALLUS AT (661) 326 -3979
Inspec or (Please Print) Fire Prevention / 1" In / Shift ;f-Site/Station # ::- Business sponslble Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05