HomeMy WebLinkAbout5001 STOCKDALE HWY _HMBP 5.31.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E? R S F I D 900 Truxtun Ave.., Suite 210
FIRE Bakersfield, CA 93301
O ARTM Tel.: (661) 326 -3979
Faxk (661) 872 -2171
FACILITY NAME /"
C7 Ll
/
d !'a C_
❑ APPROPRIATE PERMIT ON HAND
INSPECTION DATE
-5 �(
INSPECTION TIME
�SO V
ADDRESS
❑ VISIBLE ADDRESS
PHO E NO.
NO OF EMPLOYEES
FACILITY CONJACT
J! /
S�
❑ VERIFICATION OF QUANTITIES
BUSINESS ID NUMBER
15-021-,06 Z 19 y
I Section 1 Business °Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ " M U
ULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V r C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
,J ❑ 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
NQ ❑ EMERGENCY PROCEDURES ADEQUATE'
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? MYES'I // ❑ NO
EXPLAIN: AS _ f4-
-v ==' �t/A_r4 "_-
QUESTIO S REGARDING THIS INSPECTION? PLEASE CALL US AT (6 61) 326 -3979
!90 " Z' /-_ � -, r / &—_ I, f- ycz—P D , C - -
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business ite I Rbsonsible Party (Please U t)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05