HomeMy WebLinkAbout5101 GASOLINE ALLEY_HMBP 5.4.11•I
UNIFIED PROGRAM INSPECTION CHECKLIST��
SECTION 1: Business Plan and Inventory Program
Prevention Services
A R R S F t o 900 Truxtun Ave., Suite 210
*FIRE Bakersfield, CA 93301
ARyff YN r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME ,
Z"_
INSPECTION DATE
INSPECTION
❑
IFS 5
OTIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT �
�
USINESS ID NUMBER
15 -021-
Section 1:' Business Plan and Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
I
❑
Business 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
14
if
❑
CONTAINERS PROPERLY LABELED
11
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZA��RDOU WASTE ON SITE? DYES ❑ N
EXPLAIN... " �+U, W as�e
QUESTIONS-REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Plea rint) Fire Prevention / 1" In / Shift of Site /Station # Business Site / ReslSiansible Party (Plea a Print)
White - Prevention Services
Yellow - Station Copy Pink - Business Copy
FD 2155 (Rev. 09/05