HomeMy WebLinkAbout5544 STOCKDALE HWY_HMBP 5.24.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
R E R S F_1 p 900'IYuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
v ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
ADDRESS f
oc � �►,�
PHONE NO.
Vic, _ r _
NO OF EMPLOYEE S
2 .
FACILITY CONTACT f
•�
BUSINESS ID NUMBER
15 -021-
J ��d� rU
ess 11 IN
a
Section 1: sin Plan and Inventory Program Mm
Bu °
a,.
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
❑
BUSIIIeSS 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? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661)326 -3979
Inspector (Please Print) Fire Pr ention / 1" In / Shift of Site /Station # in ss it Responsib a Pa (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05