HomeMy WebLinkAbout3608 BRISBANE AVENUE_HMBP 5.5.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
C
Prevention Services
B_ F R S F _,_ n 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
aerM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME v
INSPECTION DATE
INSPECTION TIME
E ❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
leg �s
ADDRESS
PHONE NO.
NO OF EMPLOYEES
2r-"[:] VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
EMSINESS ID NUMBER
15- 021 - Qp ., /009'
d
Section 1 Business Plan and lnve.nto,ry Programs.:i
.. _
ROUTINE 0 COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ �RE-INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
_,/
5K 11 APPROPRIATE PERMIT ON HAND
E ❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
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1Q ❑ CORRECT OCCUPANCY
2r-"[:] VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
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la ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
'❑ VERIFICATION OF MSDS AVAILABILITY
2 ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
gr�'❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ,e NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspecto ( ease Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05