HomeMy WebLinkAbout3301 19 STREET _HMBP 6.15.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
JA _R S_F , 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
RrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY AME
S�i�1
INSPECTION DATE
INSPECTION TIME
ADDRESS rJ'_ 1
PHONE NO.
NO OF EMPLOYEES
301 19
327 -dos)
ET ❑ CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - Op2 295-
Sectlon 1.` Business Plan and inventory ,Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
�/
a' ❑ APPROPRIATE PERMIT ON HAND
Ef ❑ Business PLAN CONTACT INFORMATION ACCURATE
P1' ❑ VISIBLE ADDRESS
ET ❑ CORRECT OCCUPANCY
Er ❑ VERIFICATION OF INVENTORY MATERIALS
e ❑ VERIFICATION OF QUANTITIES
Vr ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
0' ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
5r ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
0' ❑ EMERGENCY PROCEDURES ADEQUATE
2^ ❑ CONTAINERS PROPERLY LABELED
Z' ❑ HOUSEKEEPING
fi ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
nnr -ouiu
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES PAO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
9 &P2, 0t- I F.< I A
Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station # 4".s onslbld Pa ease nt)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05