HomeMy WebLinkAbout5200 DISTRICT Boulevard_HMBP 4.26.11tiNiFiFn PRnrRAM INSPFCTInN "CHECKLIST
SECTION 1: Business Plan and Inventory Program
vow,
Prevention Services
H A R R 5 r 1 0
900 Truxtun Ave., Suite 210
FIRE'-
Bakersfield, CA 93301
° ARrm,
Tel.: (661) 326 -3979
Fax: 872
NO OF EMPLOYEES
(661) -2171
FACILITY NA YE
INS[P ION DATE
INSPECTION TIME
/EC
ADDRESS U
s6
PHONE NC(
NO OF EMPLOYEES
��
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
�d
15- 021 -
%�/ s
Section 1 ,* Usln °es`s Plan and Inventory Program° 1<
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
f
L�J Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
El ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
r�
I� ❑ VERIFICATION OF MSDS AVAILABILITY
2 ❑ 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? YES ❑ NO
EXPLAIN: Wa -,T--F_ O' )
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busi V Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05