HomeMy WebLinkAbout4801 WILSON ROAD _HMBP 5.26.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
e E R S F t o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
o �Rr� � r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
CA ^ e-'
INSPECTION C �v
INSPECTION T7,5
ADDRESS , j 7b t J I
'on
HONE NO. + �u
NO OF EMP(,OYEES
FACILITY CONTACT _� et) C�I
BUSINESS ID NUMBER
15 -021-
tSectlon 1.Business Plan and Inventory - :Program
y
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
1ST' ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
tth ❑ 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?
EXPLAIN:
❑ YES 61NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
� 7 Z'�6W&
ss Inspector (Plea Print) Fire Prevention / 1" In / Shift of Site /Station # Site / Responsib a arty (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05