HomeMy WebLinkAbout5100 WOODMERE DRIVE_HMBP 4.6.11UNIFIED PROGRAM INSPECTION CHECKLIST � Prevention Services
�� R R R s F , ,.,, 9001Yuxtun Ave., Suite 210
-.
_ - -_ _..- - - - - -- __------- _ —. - -- .__ _._— ._____.__�__ - FIRE Bakersfield, CA 93301
SECTION 1: ~Business Plan and Inventory Program i o ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
Sw
INSPECTION DATE
INSPECTION TIME
C' t .f\ !
q-t,_,
ADDRESS O , Q
\�• \J (� r�G f t
PHONE NO.
-- b
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMB15-021
❑ VERIFICATION OF QUANTITIES
Sectwn 1 Business Plam nd Y Inventor Program,, ; u
e
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIfteSS 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?
EXPLAIN:
>,m41 66wCAnt✓
❑ YES UVO
5 Weanc,VJ I h L
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
N '&-
Inspector (PI s Print) Fire Prevention / 1" In / Shift of Site /Station #
Party
White - Prevention Services Yellow - Station Copy . Pink,- Business Copy FD 2155 (Rev. 09/05