HomeMy WebLinkAbout600 COFFEE ROAD_HMBP 5.26.11t
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
R . C__R S F ,. __D 900 Tl-UXtUn Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ° ARrM Tel.; (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME A -.\
INSPECTION ,,D (E
ENO.
INSPECTION
ADDRESS
PHONE
O OF EMPLOYEES
O.� T=
6I - 34%l, . e
❑ CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESS ID NUMBER
P
15 -021- �01
AV
❑ VERIFICATION OF LOCATION
C v C= Compliance OPERATION
V= Violation
e
Sec }tlon 1
B;u Sin ess Plan and
InYentory Program,,. ;
ROUTINE ❑
COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
® ❑ APPROPRIATE PERMIT ON HAND
❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
s
❑ 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 Prevention / V1 In / Shift of Site /Station # B6kfess Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05