HomeMy WebLinkAbout515 19TH_HMBP 2.10.10-x
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
41.�%. 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARrII r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSSPECTION DATE
INSPECTION TIME
/�
iz CON 1 O L• S F S
z -1a /O
❑
ADDRESS
513-
(*
PHONE NO.
-?- $7rT
NO OF EMPLOYEES
/3
E- 19 TN
/)?Z
FACILITY CONTACT
USINESS ID NUMBER
IT-1
15 -021-
Section 1: Business Plan and. Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
C
❑
Business PLAN CONTACT INFORMATION ACCURATE
I[1 /
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
Pf
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
2 J
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES A0
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05