HomeMy WebLinkAbout3400 BUCK OWENS Boulevard_HMBP 5.12.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F I D
FIRE
ARM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NA° )
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INSPECTI N DATE
INSPECTION TIME
1� E G.'i � � a In ► /�i �. �
S / Z. / �
ADDRESS �
3 Y U (3 J� O
PHONE NO.
3Z3= � 7W
O OFLPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
S
15 -021-
Section 1 i-_4 siness,Plan: and Inventory Program
0% ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑ �O
APPROPRIATE PERMIT ON HAND
ha; ❑
BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
ICEP ❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
eb ❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
I❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
C] � ❑
FIRE PROTECTION
o ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES -'%b NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station # Busin ss Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05