HomeMy WebLinkAbout5333 White Lane_HMBP 6.21.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program lj
Prevention Services
A__ L R S F.J. o 900,Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
° aRrM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
i I
157 -D
ADDRESS
H0� N0�'
O OF EMPL)DYEES
�
�'��
(4,'
FACILITY CONTACT
BUSINESS ID NUMBER
ern /►'I Lc7N•9 -GMY
15 -021- oo36a �
gym:
4
F, �p
�. Sectlon�1fi�Busmess Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
d&- ❑ APPROPRIATE PERMIT ON HAND
❑ BUSU1eSS PLAN CONTACT INFORMATION ACCURATE
-- ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
I�— ❑ PROPER SEGREGATION OF MATERIAL
X, ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
I ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
IR_ ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
�. ❑ FIRE PROTECTION
W-- -❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? CZYES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
45;:�o ,-y-
Inspector (Please Print) Fire Prevention / P" In J Shift of Site /Station # Business Site / Responsible Parry (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05