HomeMy WebLinkAbout4850 COMMERCE DRIVE_HMBP 5.24.11Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST'f A R.R_S F I 900Truxtun Ave., Suite 210
- -� - -� FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program. RTM Tel.: (661) 326 -3979 i
Fax: (661) 872 -2171
FACILITY NAME
G'� s1;�;11-\ U3 9_x�
INSPECTION DATE
�- - 1ti -it
INSPECTION TIME
) 5 M
ADDRESS
PHONE N0.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- �$`_ o
T J, r
1
k da
Busi Plan and
ness Inventory Program r
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
__0
❑
APPROPRIATE PERMIT ON HAND
_-'E1
❑
BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
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 ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
1 �
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Inspector (Please Print) Fire Preventi / 1" In / Shift of Site /Station # Bus es to / Responsible Pa Plea
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05