HomeMy WebLinkAbout4801 DISTRICT BOULEVARD_HMBP 4.28.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
�.
R p R S F t . ,;
900 T ruxtun Ave:, Suite 210
FIRE
Bakersfield, CA 93301
�ARTM
Tel.: (661) 326 -3979
Fax: 872
NO OF EMPLOYEES
(661) -2171
FACILITY NAME
INSPECTION DAT
INSPECTION ME
TI
D f
Sod
//
ADDRESS y
HO NO�J
NO OF EMPLOYEES
. IV /
-0775
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- DOC��py
Section 1 Business Plan and ln�entory Prdgram`... "
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑. RE- INSPECTION
C v
c C=Compliance s OPERATION
V= Violation
COMMENTS
LJ ❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
I/ ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
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
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES �O'NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Prin) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Resipproible Party (PI se rint)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05