HomeMy WebLinkAbout5151 DISTRICT_HMBP 4.6.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B F R S F I . D
FIRE
ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE NO.
7 -7av>
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
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Section WBEsiness Plan antl Inventffl ogra m
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance 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
91 ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: 7,
❑ YES 6LNO
e,- - ca
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please F"rinr Fire Prevention rV 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
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UNIFIED PROGRAM INSPECTION- CHECKLIST
SECTION 1. Business Plan and Inventory Program
!�
Prevention Services
A r: R s F. ,jEV..n
)
900 Truxtun Ave., ..Suite 210
Bakersfield, CA 93301
; FiRE
r
-
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DE�ARTM v
Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 - 2171.
7 Doc)
FACILITY CONTACT R
INSPECTION DATE
INSPECTION TIME
15 -021-
❑ PROPER SEGREGATION OF MATERIAL
1 ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
FACILITY NAME \\
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
j
-
ADDRESS
PHONE NO.
NO OF EMPLOYEES
L3
7 Doc)
FACILITY CONTACT R
BUSINESS ID NUMBER
`C/
15 -021-
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S s Plan d,-
Inventory Program
ectlon 1 Burmese y
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION'
C V C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ gUSlnesS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
�- ❑ CORRECT OCCUPANCY
I
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION "OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
1 ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
I ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I ❑ EMERGENCY PROCEDURES ADEQUATE
I ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
[� ❑ FIRE PROTECTION
V \
❑ SITE DIAGRAM ADEQUATE & ON HAND
.tl
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:.
❑ YES �NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
J I,�
rn�
Inspector (Please Pfin Fire Prevention /�` 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