HomeMy WebLinkAbout3215 PACHECO ROAD_HMBP 5.4.11Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B F R S F t o 900Truxtun Ave., Suite 210
- — -- -- _ -- -- — - - -- -- FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECT Oh( DATE,
INSPECTION TIME
ADDRESS �'�G
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HONE NO.
736 5's
O OF EMPLOYEES
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FACILITY CONTACT
Business PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
•
15 -021-
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Section 1:, Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
j 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
OL
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOU WASTE ON SITE? I ES ❑ N
EXPLAIN: L () f ` � Ao' t't
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Pr/ ) Fire Prevention / I" In / Shift of Site /Station #
-i-JGD,
usi7" r4fnsible Party (Please Print)
Ut -aura
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05