HomeMy WebLinkAbout5651 AUBURN STREET_HMBP 3.7.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
H A 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 NAME B&/+vOS3/,j E_d- P 2 (Zs-/
INSPECTION DATE (/
INSPECTION \E
ADDRESS �� /� � Q : I . r �
v 1 I / V
HONE NO. �[' �l
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER -021 23 o
�Segflemt1: Business Plan anclInventory Program'
• 7—ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
4-
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ki ❑ 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
W -Wld
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
, 77- 4 j 6qv - v 3 2 S KI L = V, � �
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busitfess Site / Responsible Pa (Please Print)
White – Prevention Services Yellow - Station Copy Pink – Business Copy FD 2155 (Rev. 09/05