HomeMy WebLinkAbout5300 WIBLE ROAD_HMBP 5.4.11UNIFIED PROGRAM INSPECTION CHECKLIST�j
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F I o 900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
ARrM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
�-
INSPECTION TIME
1500
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ADDRE13S 53 O o
PHONE NO.` h
O OF EMPLOYEES
FACILITY CONTACT j /
Lo c
BUSINESS ID NUMBER
15 -021-
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Section 1: Business Plan and Inventory Program
OUTINE ❑ 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
(tT ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑ iC
FIRE PROTECTION
r
1 V ( r^
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDO S WASTE ON SITE?
EXPLAIN: }`
V,C I — bp,
f.LJ'ES ❑ NO
1.101M1-1F:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (PI se rint) Fire Prevention / 151 In / Shift of Site /Station # B Ines ite / Res si le 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
B_ E R S F I D
FIRE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAM
AV7Lefj�
INSPECTION DATE
INSPECTION TIME
Ll C CA I
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT / r /
BUSINESS ID NUMBER
15 -021-
r l G �I (1U r A-e-
❑ VERIFICATION OF QUANTITIES
Section 1: Business Plan and Inventory Program- � �o.�
❑ 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
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES ❑ NO
Kbh -W3
QUESTIONS EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
i"
i -,
Inspector (Please rint) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Re sible Party (Please rin
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05