HomeMy WebLinkAbout610 WILLIAMS_HMBP 4.22.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B B R S F Io 900Truxtun Ave., suite 210
-- — - -- - -- — - -- — - J FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
/7'Q L CHA/t 77/L ZI VeS
INSPECTION DATE
Li 2,Z 10
INSPECTION TIME
ADDRESS
PHONE NO.
L361 3 Z 7 i n 3 Z
NO OF EMPLOYEES
-7
FACILITY CONTACT
I r�� _III ►Ma,� y�� s
3USINESS ID NUMBER
15-021-
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❑
Section 1 Business Plan =and Inventory Program �
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
r C= Compliance OPERATION
V= Violation
COMMENT S
El'
❑
APPROPRIATE PERMIT ON HAND
Efr
❑
Business PLAN CONTACT INFORMATION ACCURATE
-0
❑
VISIBLE ADDRESS
ff
❑
CORRECT OCCUPANCY
-f-I
❑
VERIFICATION OF INVENTORY MATERIALS
0-
❑
VERIFICATION OF QUANTITIES
-B
❑
VERIFICATION OF LOCATION
a
❑
PROPER SEGREGATION OF MATERIAL
8
❑
VERIFICATION OF MSDS AVAILABILITY
8
❑
VERIFICATION OF HAZ MAT TRAINING
in
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
4)
❑
EMERGENCY PROCEDURES ADEQUATE
2
❑
CONTAINERS PROPERLY LABELED
Q
❑
HOUSEKEEPING
-0
❑
FIRE PROTECTION
49-
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 czz
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Inspector (Please Print) Fire Prevention 11" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105