HomeMy WebLinkAbout4615 SHEPARD STREET_HMBP 4.26.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory. Program
FACILITY NAME
Prevention Services
B A F R S P 1
900 Truxtun Ave., Suite 210
,FIRE
Bakersfield, CA 93301
O ARTM
Tel.: (661) 326 -3979 "
Fax`. 872
O OF EMPLOYEES
•(661) -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑
/
Z ?15j
ADDRESS
PHON NO.
O OF EMPLOYEES
/
S
3-)_
FACILITY CONTACT �1
BUSINESS ID NUMBER
15- 021 -
❑
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
N
❑
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS .
UY'D
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
Vf ❑
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
ANY HAZARDOUS WASTE ON SITE? ❑ YES P"NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / ft In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05