HomeMy WebLinkAbout333 SUMNER STREET_HMBP 4.28.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F ,_ •_„ 900 Truxtun Ave., Suite 210
FIRE Bakersfield; CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME -
LDS SHoW7-i/r�E Avg 13aDy'
DATE
0� XT /1e
INSPECTION TIME
515
ADDRESS
PHONE NO.
NO OF EMPLOYEES
333 Sv nV &V- V RE Z97
2__
FACILITY CONTACT
BUSINESS ID NUMBER
SOD 1 '�F- ,�bl.� 3 4S - q-79 1
15 -021-
3ecton1 Business Plain and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑. MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSUIeSS PLAN CONTACT INFORMATION ACCURATE
`IJV
❑
VISIBLE ADDRESS
N
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
29
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
tC
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
A
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
®
❑
HOUSEKEEPING
P9
❑
FIRE PROTECTION
[�1
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 14 NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05