HomeMy WebLinkAbout5980 RELIANCE Drive_HMBP 6.10.10UNIFIED PROGRAM INSPECTION. CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R SF I D
FIRE
ARiM r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
ADDRESS
HONE 3
O OF EMPLOYEES
dO �� LSA nJC ��
N3. _ 7� &3
FACILITY CONTACT
BUSINESS ID NUMBER
aTLL F <FGo,1 /L
15- 021 - C��a 1,9 o
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
K
❑
BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
19
❑
VISIBLE ADDRESS
Cg
❑
CORRECT OCCUPANCY
R
❑
VERIFICATION OF INVENTORY MATERIALS
12
❑
VERIFICATION OF QUANTITIES
Ili
❑
VERIFICATION OF LOCATION
1p�,
❑
PROPER SEGREGATION OF MATERIAL
W
❑
VERIFICATION OF MSDS AVAILABILITY
N.
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
R
❑
CONTAINERS PROPERLY LABELED
Ia
❑
HOUSEKEEPING
K
❑
FIRE PROTECTION
EL
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
Q YES X NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
�CarT �G """') -%t- / 3�
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
Knr -0U1J
UAJ - ,m tN�F_'D.�T�
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05