HomeMy WebLinkAbout4609 NEW HORIZON Boulevard_HMBP 5.27.11Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST MAW
A -. F R 5 F, 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ° ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
270 Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
HONE N0.
NO OF EMPLO ES
, Ad
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONT CT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
15- 021 -
i; Sect�onc 1 Business Plan;and Inventory P.,rogram
iff ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTIONS
C v ( C= Compliance OPERATION
V= Violation ,
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
270 Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
Er ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
2-1110 FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES /NO
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 Pa (Pleas Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05