HomeMy WebLinkAbout5400 GASOLINE ALLEY DRIVE_HMBP 4.28.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
4►
Prevention Services
a A F. R s �_, ,;
900 Truxtun Ave.; Suite 210
FIRE
Bakersfield, CA 93301
D ARTM
Tel.: (661) 326 -3979
Fax: 872
O OF EMPLOYEES
(661) -2171
FACILITY NAME
INSPECTIO DATE
INSPECTION TIME
W
ADDRESS
PHONE NO. _S
(
O OF EMPLOYEES
10' ❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- 0boZ046
i
Sectlong1 Business Pian;and Invento ra
ry, Progm
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
�❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
10' ❑ VERIFICATION OF INVENTORY MATERIALS
L'iJ ❑ VERIFICATION OF QUANTITIES.
Ja ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
1Q • ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
,0'*10 EMERGENCY PROCEDURES ADEQUATE
❑' CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? P-` ES ❑ NO
EXPLAIN: - 4,j 7-7 Ft 645 -a I: -, 1"/A -5 T-0 O; 1
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy PirjV Business Copy FD 2155 (Rev. 09105