HomeMy WebLinkAbout4900 LISA MARIE COURT_HMBP 3.28.11UNIFIED PROGRAM INSPECTION CHECKLISTJ� Prevention Services
t: R s F , 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program *ARym r Tel.: (661) 326 -3979
L Fax: (661) 872 -2171
FACILITY NAME
COMMENTS
INSPECTION DATE
INSPECTION TIME
ADDRESS
0100
ij
GZ <
PHONE NO.
Wei _1233-63x
NO OF EMPLOYEES
FACILITY CONTACT
W'2
Sam c,o,
1:1 VERIFICATION OF INVENTORY MATERIALS
BUSINESS ID NUMBER
15 -021-
Sectign1: ,Business Plan and Inventory:Program
ROUTINE ❑ COMBINED ❑ 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
❑ CORRECT OCCUPANCY
1:1 VERIFICATION OF INVENTORY MATERIALS
1
QC ' ❑ 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
jr ❑ SITE DIAGRAM ADEQUATE & ON HAND
nor -oujo
ANY HAZARDOUS WASTE ON SITE? ❑ YES DINO
EXPLAIN:
QUESTIONS EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Pleas Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05