HomeMy WebLinkAbout4851 STINE Road_HMBP 6.21.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A F_•. R S F l D
FIRE
JO ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel :: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
g,1,21 A
0930
ADDRESS
PHONE NO.
NO OF EMPLOYEES
41
$31-90oe
a5
FACILITY CONTACT
BUSINESS ID NUMBER
15-021-,66Z)0-3, k
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Section 1: BusinessPlan and Inventory Program
ROUTINE 0 COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
04 ❑ BUSIf1eSS 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
'i� ❑ EMERGENCY PROCEDURES ADEQUATE
ffiL— ❑ CONTAINERS PROPERLY LABELED
PL ❑ HOUSEKEEPING
I"— ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES A—NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05