HomeMy WebLinkAbout5200 STOCKDALE HWY _HMBP 6.2.11Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST x t R I, R S_P I n 900TruunAve., Suite 210
— -- - --- =– FIRE Bersfield, CA 93301
SECTION 1: Business Plan and Inventory Program 1. ° aRrM akTel.: (661) 326-3979 RTM
8 4%111110'� Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
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PHONE NO.
3. ?S- 77 o
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
15 -021- oo3S`10
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�usmess Plan and fnvento Pry
`` Section 1 B � � �
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ROUTINE ❑ COMBINED. ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
�j ❑ 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
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❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
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1:1 FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARD0 S WASTE ON SITE? YES ❑ NO
EXPLAIN: YT" If
QUESTIONS REGAR��D'G THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
0°�L�''Ul'q� 11-4. Aft A
Inspector (Please Print) Fire Prevention / 1" 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