HomeMy WebLinkAbout3600 De Souza_HMBP 5.19.10UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
4!�' �". 900 Truxtun Ave., Suite 210
- - -- - -- —V - FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program' ARfM 41,
I Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
% v\e. IMGr • 1� S
INSPECTION DATE
5 - I � -1 v
INSPECTION TIME
-00
ADDRESS
3 (oob Sou A
PHONE NO.
2-�1-4 - 3
NO OF EMPLOYEES
z
❑
FACILITY CONTACT
p O
D
BUSINESS ID NUMBER
15 -021-
_
❑
Section'1, Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSRIeSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
J
❑
V
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
❑ d—
FIRE PROTECTION
1-
❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector ( le a Print) Fire Prevention / 1" In /Shift of Site /Station # Businesk S'
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05