HomeMy WebLinkAbout3403 WILSON ROAD_HMBP 5.26.10UNIFIED PROGRAM INSPECTION CHECKLIST�I Prevention Services
B E R S F t o 900 Truxtun Ave., Suite 210
-- ___ - --
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
- �
U ► (o D➢S
INSPE ION ATE
'ac
INSPECTION TIME
11 3o
ADDRESS 3 -d 03 , _ f" I� o o
V \VI /l
PHONE NO. � ` `
O OF EMPLOYEES
S
FACILITY CONTA
Pa ( S
BUSINESS ID NUMBER
15 -021-
i.�
;Section 1: WBus�n.ess Plan_and'in�e,ntory P,rogcam
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
�I
9!
❑
APPROPRIATE PERMIT ON HAND
9 ❑
Business PLAN CONTACT INFORMATION ACCURATE
A'
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
(�I
VV
❑
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:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
` 1 `
Inspector (PI ase Print) Fire Prevention / I" In / Shift of Site /Station # siness Site / Responsible arty (PleV Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05