HomeMy WebLinkAbout3301 19 STREET_HMBP 6.9.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F I D
FIRE
*ARrN T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY1j�AME
ieomci n
INSPECTION DATE
INSPECTION TIME
45/)
ADDRESS
3301 `1`
HONE NO.
;.5I�',63
NO OF EMPLOYEES
S
FACILITY CONTACT
x)" y����
BUSINESS ID NUMBER
15- 021- 0 7-3p2_
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
0
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
L9
❑
PROPER SEGREGATION OF MATERIAL
L[l
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
i
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
6Y
❑
EMERGENCY PROCEDURES ADEQUATE
jo
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
K "Ui6
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
/49 1AI *Ato/ >�,a -
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05