HomeMy WebLinkAbout3320 MADRID_HMBP 2010Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST; e !t. 900TruxtunAve., Suite 210
J$� - -- — -_ - —� FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program "Rr"r T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ry -e
❑
❑
ADDRESS
YACLAYl
PHONE N0.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 -
Section l: Business Plan and Inventory Program -
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
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APPROPRIATE PERMIT ON HAND
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❑
Business PLAN CONTACT INFORMATION ACCURATE
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VISIBLE ADDRESS
❑
❑
CORRECT OCCUPANCY
❑
❑
VERIFICATION OF INVENTORY MATERIALS
❑
❑
VERIFICATION OF QUANTITIES
❑
❑
VERIFICATION OF LOCATION
❑
❑
PROPER SEGREGATION OF MATERIAL
❑
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VERIFICATION OF MSDS AVAILABILITY
❑
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VERIFICATION OF HAZ MAT TRAINING
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
❑
EMERGENCY PROCEDURES ADEQUATE
❑
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CONTAINERS PROPERLY LABELED
❑
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HOUSEKEEPING
❑
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FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN-
❑ YES P�'No
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)
nor -ouia
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05