HomeMy WebLinkAbout615 BROWN_HMBP 3.5.10UNIFIED PROGRAM INSPECTION CHECKLISTji Prevention Services
F 1 _D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program *ARTH T Tel.: (661) 326 -3979
t Fax: (661) 872 -2171
FACILITY NAME
910.9
INSP CT N DATE
S
INSPECTION TIME
* 774,V O ,S- 11_�Ll rD l6e le'11/L
3 / I D
11-30
ADDRESS
6 S / ,J!5;e6) rvtr
PHONE NO.
536-016 6
NO OF EMPLOYEES
5"
FACILITY CONTACT
BUSINESS ID NUMBER
ANI; 91— v>i f-1Z c y 3Y6 x/36'3
15 -021-
Section 1: Business Plan and Inventory Program ,
JZ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
V
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
10k
❑
VISIBLE ADDRESS
X
❑
CORRECT OCCUPANCY
�Kf
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
.<
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
:0
❑
VERIFICATION OF HAZ MAT TRAINING
9
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
30
❑
EMERGENCY PROCEDURES ADEQUATE
ET
❑
CONTAINERS PROPERLY LABELED
.Rf
❑
HOUSEKEEPING
❑
W
FIRE PROTECTION
Gk n Flo
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARD�j' S WASTE ON ITE?
EXPLAIN: /"A/itJT' LTA.2-
❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station #
63 - F7 2.o
usiness Site / Re6ponsible Party (Please Print)
nor•ou i s
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05