HomeMy WebLinkAbout6701 Pacific Island Drive_HMBP 4.16.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
44!W.
FIRE
ARTH F
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
/�
EX V 1 c.. i Cam!
❑
ADDRESS
PHOK NO /
O OF EMPLOYEES
❑
_ _
FACILITY CONTACT
BUSINESS ID NUMB15-O21- 6
Section to Business Plan and Inventory Program
DKI ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
7
❑
APPROPRIATE PERMIT ON HAND
1G
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
�I
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
V'
❑
VERIFICATION OF HAZ MAT TRAINING
5�'
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
Ef
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES �"O
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station #
Business Site / Responsible Party (Please Print)
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White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05