HomeMy WebLinkAbout5101 OFFICE PARK Drive_HMBP 4.23.10UNIFIED- PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F-1 ,, 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARfM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSP CTION TIME
ADDRESS
PHONE NO.
NO OF EMP O ES
FACILITY CONTACT �^
l
15_021- V
Business Plan`and Inventory Program
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-ROUTINE . ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v- ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUsiness PLAN CONTACT INFORMATION ACCURATE
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❑ VISIBLE ADDRESS
❑ _ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
El VERIFICATION OF HAZ MAT TRAINING
C:] 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? ❑ YES �0
EXPLAIN: V N II ' Y� NW D !� i TF
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" in (Please Print) Fire prevention / In /�ift of Site /Station #of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST(,
SECTION 1: Business Plan and Inventory Program
li
�• Prevention Services
n n x r a s r t e p 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
DE.,AR1►M ,MT Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
NSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOY ES
FACILITY CONTACT
'J
aU.S1NESS40.NLLL4SER ajv.,-f
15 -021- 1 Ob
Section '1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑- JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= ompliance) OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ 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
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? C3 YES .� NO
EXPLAIN: (!N MqN_' N 0 )e, ,-)
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / SAft of Site /Station # Business Site./ Responsible Party (Please Print)
White ,7 Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05