HomeMy WebLinkAbout4405 COUNTRY WOODS DRIVE_HMBP 5.5.11UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Business Plan and Inventory Program
i
Prevention Services
A A R s r t •_D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARrM Tell: .(661) 326 -3979
Fax: . (661) 872 -2171 4
FACILITY NAME v
INSPECTION DATE
INSPECTION TIME
ADDRESS 6 [p
HONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
I ��"
BUSINESS ID NUMBER
15- 021 -Q02`3
',Section 1 Business Plana,, IqyentoryTrogram
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance) OPERATION
V= Violation
COMMENTS
,Er-11 APPROPRIATE PERMIT ON HAND
iJ ❑ business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
CK ❑ CORRECT OCCUPANCY
0 ❑ VERIFICATION OF INVENTORY MATERIALS
2" 13 VERIFICATION OF QUANTITIES
12 ❑ VERIFICATION OF LOCATION
Pr_❑ PROPER SEGREGATION OF MATERIAL
0 ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
IQ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES LfJ N0
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)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05