HomeMy WebLinkAbout3201 F STREET_HMBP 5.19.10t
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services
B A , R s , „
900. Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
n ARYN
Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
661 - -/4
s
ADDRESS
NO.
PHO E -
NO OF EMPLOYEES
-
3 Z -75Z
-
FACILITY CONTACT
BUSINESS ID NUMBER
9-�O VERIFICATION OF LOCATION
15-021 -
,
a ,
Section 1, B P
usiness lait: In A Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
D-11 APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
Lam❑ VISIBLE ADDRESS
0—❑ CORRECT OCCUPANCY.
L ❑ VERIFICATION OF INVENTORY MATERIALS
0 -111 VERIFICATION OF QUANTITIES
9-�O VERIFICATION OF LOCATION
Cam❑ PROPER SEGREGATION OF MATERIAL
C--❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�❑
3,* LJ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
3-10 HOUSEKEEPING
3
2` � LJ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
If Dc; -c /7�
inspector se Pri ) Fire Prevention / 1" In /Shift of Site /Station # Bu ' ess e / sible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05