HomeMy WebLinkAbout3450 MAIN PLAZA DRIVE_HMBP 201UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
I H R S 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
C �L aT f. Q e
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND
FACILITY CONTACT
BUSINESS ID NUMBER
g i Z- L-
15 -021-
Sedtionl: Business Plan�a°nd Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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
G (&rJ
,Ib
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(15
❑
EMERGENCY PROCEDURES ADEQUATE
+Q
❑
CONTAINERS PROPERLY LABELED
LJ
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO
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EXPLAIN: is - �_-_ A i , S— n
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
61_% c
Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site /Station # Bus' ss Site /Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
Prevention Services
UNIFIED.PROGRAM INSPECTION CHECKLIST; rARFM 0 900 Truxtun Ave., Suite 210
-- Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program t Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
CAL �A-"1 ��-- ,Q ice
❑
{ m
ADDRESS
PHONE NO.
NO OF EMPLOYEES
3 11,1 s O MNt ►`. PLAZA 1>Q-
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT
BUSINESS ID NUMBER
4,t.- �C)S I C�
15-021 -
C
v
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Px
❑
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A
Section 1Buslnesslaand.
°Inventory Program
d'
❑
Business PLAN CONTACT INFORMATION ACCURATE
�.
ARE-
VISIBLE ADDRESS
❑ ROUTINE ❑
COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT
❑ INSPECTION
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
V
❑
VERIFICATION.OF QUANTITIES
L 111
❑
VERIFICATION OF LOCATION
,k
❑
PROPER SEGREGATION OF MATERIAL
`C.,
❑
VERIFICATION OF MSDS AVAILABILITY
C
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
-0Q
❑
CONTAINERS PROPERLY LABELED
%g❑
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN: <L 4, 1,.L. A k :b—,/ / ' � It O-,-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 _4
L_Jlx �
Inspector . (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bus' ss Site / Responsible Party (Please Print)
White - Prevention Services Yellow -Station Copy Pink - Business Copy FD 2155 (Rev. 09/05