HomeMy WebLinkAbout4000 STOCKDALE Hwy_GMBP 5.21.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R SF I D
FIRE
ARTM T
Prevention Services
900 Truxturt Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Z� 1 O
to 040
ADDRESS
Lioo o S !�
PHON NO.
�z 7 �
NO OF EMPLOYEES
G
FACILITY CONTACT
Crv, Z-
BUSINESS ID NUMBER
15- 021- IC�CJ�S'Ctd
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
V ❑ PROPER SEGREGATION OF MATERIAL
l
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
�I ❑ CONTAINERS PROPERLY LABELED
fZ� ❑ HOUSEKEEPING
(�
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES i NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
7y_f Z7:r14 r.q.
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05