HomeMy WebLinkAbout5001 Stockdale Hwy_HMBP 6.3.10a
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and_ Inventory Program
4111111111111111" Prevention Services
H. e A R s , 0 900 TYuxtun Ave., Suite 210
FIRE Bakersfield,- CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
LA , -
INSPECTION DATE
INSPECTION TIME
2 c
ADDRESS
HONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
i
Sect s
lon�1 ��BusinesPlan and Inventory Program
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/ OUTINE El COMBINED ❑� JOINT AGENCY �� ❑ MULTI - AGENCY �❑. COMPLAINTS ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
P-l'❑ APPROPRIATE PERMIT ON HAND
0' ❑ BUSIf1esS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
42"' ❑ CORRECT OCCUPANCY
ER'- ❑ VERIFICATION OF INVENTORY MATERIALS
®— ❑ VERIFICATION OF QUANTITIES
.0_ ❑ VERIFICATION OF LOCATION
Ei ❑ PROPER SEGREGATION OF MATERIAL
JEI'— ❑ VERIFICATION OF MSDS AVAILABILITY
e- ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
Br ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
$ ❑ FIRE PROTECTION
® -"❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO t
EXPLAIN: 091
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (66 1) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # . Bu iness Site esp sible Party (PI a
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05