HomeMy WebLinkAbout605 WILLIAMS_HMBP 4.22.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F I o 900.1ruxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
/Roa/s� E vc,� �oDy /%li
INSPECTION DATE
`ZZ'f (P
INSPECTION TIME
n.Oa
ADDRESS -
�a � (,� , �', a �..�
PHONE NO.
L(e) 3u1 3 L I
O OF EMPLOYEES
y
FACILITY CONTACT �y�n {�S {, (� CbN �� (t
Zvi ►ham L 6b CIS
BUSINESS ID NUMBER
15 -021-
Section 1 Business Plan and Inventory Program„
❑ ROUTINE ❑ COMBINED ❑ -JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
C�J
❑
APPROPRIATE PERMIT ON HAND
16
❑
Business PLAN CONTACT INFORMATION ACCURATE
t]
❑
VISIBLE ADDRESS
6
❑
CORRECT OCCUPANCY
�I
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
RJ
❑
VERIFICATION OF LOCATION
0
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
P
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
Y
❑
FIRE PROTECTION
P
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIO GARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
X�'J�_e C'G� - &-"k 4 \
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05