HomeMy WebLinkAbout4607 Planz Road_HMBP 5.25.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST, a > R s F t o 900 Truxtun Ave., Suite 210
- _ — — — - — —_ — -- — - - -J FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ;� ° ARTM r Tel.: (661) 326 -3979
u Fax: (661) 872 -2171
FACIL6 NAME ``•• `` L/
INS P CTION DATE
INSPECTION TIME
ADDRESS
#5a 7 PLA P f 63-7- 7o33
PHONE NO.
NO OF EMPLOYEES
/025'
FACILITY CONTACT
80 �0SI
BUSINESS ID NUMBER
15 -021-
Section 1: Busine, ss -Plan and Inventory Pi•ogtam
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
R" ❑ APPROPRIATE PERMIT ON HAND
[Y"' ❑ BUSRIesS PLAN CONTACT INFORMATION ACCURATE
LET ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
Q^ ❑ VERIFICATION OF INVENTORY MATERIALS
IPO- ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
LzY ❑ PROPER SEGREGATION OF MATERIAL
IV ❑ VERIFICATION OF MSDS AVAILABILITY
02' ❑ VERIFICATION OF HAZ MAT TRAINING
Ur ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
6A ❑ EMERGENCY PROCEDURES ADEQUATE
GY ❑ CONTAINERS PROPERLY LABELED
Er ❑ HOUSEKEEPING
❑ FIRE PROTECTION
gr ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 2/N 0
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busine to / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05