HomeMy WebLinkAbout4800 NEW HORIZON BOULEVARD_HMBP 5.3.11�► Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
>, F R s r ,. n 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program I ° ARTM Tel.: (661) 326 -3979
1 Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
` s
❑
/03-
ADDRES
PHONE NO.
NO OF EMPLOYEES
v
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
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I
` "Section 1 Business Planand Inventory.Program
ROUTINE ❑ COMBINED ❑ P
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
,,/
JG ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
11 E l / VERIFICATION OF MSDS AVAILABILITY
❑
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 X/NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
I ector ( e e Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05