HomeMy WebLinkAbout601 GOLDEN STATE AVENUE_HMBP 4.19.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
H F. R S F I D
FIRE
D ARTM
.Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93,301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSP CTION ATE
INSPECTION TIME
ADDRESS j
�oD1
PHONE NO. .
322 -7-1 S,0
NO OF EMPLOYEES
Z
FACILITY CONTACT j
9. � �
BUSINESS ID NUMBER
15- 021 -
��4 °� ��° Section 1: Business Plan and Inventory f�rogram t_ � �>s ��p�,��.r,C
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑. COMPLAINT . ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
P/11,11 Business 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: \AjQ C, 1
T 0 REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention /'1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05