HomeMy WebLinkAbout5700 STOCKDALE HWY_HMBP 5.26.11UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
B_ _ER _S F_ I_ D 9001Yuxtun Ave., Suite 210
�_- — --= - - -- FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ° '° Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
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ADDRESS C \
PHONE NO.
U61 - 34 y _ (.q
NO OF EMPLOYEES
S-C�
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- So ohs y
❑ VERIFICATION OF QUANTITIES
Sectlon � 1 Business Pian and.inyentory.Program
.
ROUTINE ❑ COMBINED ❑ JOINTAGENCY . ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
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❑ 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
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Preven Ion / 1'I In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05