HomeMy WebLinkAbout6401 TRUXTUN AVENUE_HMBP 5.24.11UNIFIED PROGRAM INSPECTION CHECKLIST�i Prevention Services
J. A F a s F , . „ 900 Truxtun 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 3
INSPECTION DATE
INSPECTION TIME
041V IL R
❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS rr
%V 1p
HONE NO.
(o(. I - 32 3
NO OF EMPLOYEES
/%
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
❑ VERIFICATION OF QUANTITIES
Section 1: 'BusinessePlan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v (C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ 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:
QUESTIONS 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
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B F It 5 f I D 900 Truxtun' Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTN Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
Tic Av
PHONE NO.
O OF EMPLOYEES
FACILITY CONTACT
5 't I
BUSINESS BUSINESS ID NUMBER
15 -021- X85-38'
. t S D,^
Section 1:' Busines,s Plan and = Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ 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
❑ 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 1
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / V In / Shift of Site /Station # Bus' es ite esponsible arty (Plea
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05