HomeMy WebLinkAbout3723 AUBURN STREET_HMBP 3.7.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME —
��S J FR_
Prevention Services
INSPECTION TIME
t
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
ARTM r
Tel.: (661) 326 -3979
❑ CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME —
��S J FR_
INSPECTION DATE
3 -7-20 r
INSPECTION TIME
t
ADDRESS A ^� D�
! /J( i
HONE NO. �21
O OF EMPLOYEES
FACILITY CONTACT _
BUSINESS E(7SS ID NUMBER
15- 021 - y
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
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
El ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND L 1
(:>y C
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: 11, , 0.5
❑ YES ❑ NO o
( _.'j /�-e-y f 1" is - 'J►�°S ✓
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
C04 0�3c `B -6
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White – Prevention Services Yellow - Station Copy Pink – Business Copy FD 2155 (Rev. 09/05