HomeMy WebLinkAbout3501 STOCKDALE HWY _HMBP 4.22.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
R.__ E R, 5 F t _D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSP CTI DATE
INSPECTION TIME
q1 2 1 D
sb
ADDRESS /
PHO O.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
C.—
VISIBLE ADDRESS
ection 1: B'usines�s Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
D
J9,
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
Q
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
OPER 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
❑
IRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDO
EXPLAIN:
QUESTI S GARD G THI IN ECTI N1 PLEASE TCL US AT (661) 326 -3979
i
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site tation # ' Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05