HomeMy WebLinkAbout3701 SILLECT AVENUE_HMBP 6.2.102'(_ -z-7
UNIFIED PROGRAM INSPECTION CHECKLIST "FIRE Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
SECTION 1:.Business Plan and Inventory. Program Tel.: (661) 326 -3979
Fax:. (661) 872 -2171
FACILITY NAME
INSPEC ON D TE
b V
INSPECTION TIME
�-► C_ wr .ns %Ve-i- -� oc iCs
/ O
g _ADPROPRIATE PERMIT ON HAND r ° k. t,
ADDRESS tt
3� 11e. C'
PHONE NO.
O OF EMPLOYEES
3"510
FACILITY CONTACT
BUSINESS ID NUMBER
❑
15 -021-
..
Section 1 Buslness,Plan' and InV,entory Program '
OUTINE ❑ COMBINED ❑ JOINT A MULTI-AGENCY � L A 1
�> .... Y,GENCY ❑ e
❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
0
g _ADPROPRIATE PERMIT ON HAND r ° k. t,
Vr- ❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
CI'
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
121s
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
56
FIRE PROTECTION
S
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES JDNO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1' In / Shift of Site /Station #
Business Site / R sible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05