HomeMy WebLinkAbout3300 WIBLE ROAD_HMBP 2.2.10UNIFIED PROGRAM INSPECTION CHECKLIST ,I! Prevention Services
j*ARTN R S F I _- D 900 Trluctun Ave., Suite 210
— — -- - - - - -- -- - - - - -- -- - - - - -- — - - -- - I FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program �!' r Tel.: (661) 326 -3979
t Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
3 3vd c,Jl3c.�
❑
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- 10z)3--q/7
Section 1-. Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
CORRECT OCCUPANCY
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VERIFICATION OF INVENTORY MATERIALS
Y❑
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
A'
Qs (P, FA �MD 6 C ` o
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
❑
ONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE Q{V SITE?
EXPLAIN: 01 L, 1{-.�( fK
❑ NO
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5
QUESTI NS REGA ING TW POSPECTION? PLEAS ALL US AT (661) 326 -3979 ^
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Inspector (Please Print Fire Prevention / 1" In/ Shift f Site / /SStation # Igusiness Site / Responsible Party (Please Print)
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White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05