HomeMy WebLinkAbout3223 SILLECT AVENUE_HMBP 5.23.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
VOW Prevention Services
B F: R S F I_ D 900lYuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAM
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INSP CTION DATE
INSPECTION TIME
1 S
61
COMBINED ❑ JOINTAGENCY El"-MULTI-AGENCY ❑ COMPLAINT
ADDRESS �+ \�
PHONE O.
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NO OF EMPLOYEES
FACILITY CONTACT
B CTSINESS ID NUMBER
15 -021-
C v
Seetio °n 1:' Business Ptan and tnuentory Program
C"
5
❑ ROUTINE,,
COMBINED ❑ JOINTAGENCY El"-MULTI-AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
Business PLAN CONTACT INFORMATION ACCURATE
C v
( e= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑ ❑
Business PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
El
CORRECT OCCUPANCY
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VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑ ❑
VERIFICATION OF HAZ MAT TRAINING fV `
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/J
l jLiJ ❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑ ,A
FIRE PROTECTION
)Z5 ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES CNO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
S
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05