HomeMy WebLinkAbout3400 PANAMA_HMBP 5.4.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
H_ H �Rl F I . D
FIRE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
°'1 �Qh� �o��
INSPECTION DATE
' - Y / t
INSPECTION TIME
lS�v
v r
❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS I
34 0 >n�m�
PHONE NO.
597- 050,
NO OF E LOYEES
FACILITY CONTACT
bC47 r gin a
BUSINESS ID NUMBER
15 -021-
LIVA
Section'1: Business Plana,ndInventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
EF-
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ 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
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN: V
J4� Via; (---M (3 1`1 K 9 A N) G A@ N ak � " - Cuw
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
j-tfs"' r /7 ll
Inspector (Ple e P nt) Fire Prevention / 1s' In / Shift of Site /Station #
' Wkrri�
01 Ni ? I� L
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05