HomeMy WebLinkAbout3650 MING Avenue_HMBP 4.16.10vowl Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST R F R s , „ 900 Truxtun Ave., Suite 210
- == =— -- FIRE Bakersfield, CA 93301
' ARTM Tel.: (661) 326 -3979
SECTION 1: Business PI n and In ,entory Program
, I 44501, Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
a
Li - D
05
ADDRESS
PHONE NO.
NO OF EMPLOYEES
-7
Y 02L01
FACILITY CONTACT
BU NESS ID NUMBER
VISIBLE ADDRESS
15- 021 - 0 00Qj y-
'i Section 1 �Busmess Plan and Inventory Program
,. _ •, e e -
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
IT
Business PLAN CONTACT INFORMATION ACCURATE
Vf
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
1
1LJ
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE '
P❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
RYES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
- K2- �'
ttiv L I
Inspector (Please P nt) Fire Prevention / 1" In / Shift of Site /Station # Busine sponsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05