HomeMy WebLinkAbout711 19TH_HMBP 4.21.10n
UNIFIED PROGRAM INSPECTION CHECKLIST��
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
+rte
Prevention Services
B E R S F I _D
900 71ruxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
A RrM M r
Tel.: (661) 326 -3979
%
Fax: (661) 872 -2171
FACILITY NAME
+rte
INSPECTION DATE
/_ al_ zalD
INSPECTION TIME
/3�0
ADDRESS
PHONE NO.
NO OF EMPLOYEES
'7/t — / T
k 323 -7ry
%
FACILITY CONTACT
BUSMESS ID NUMBER
15 -021-
0
VISIBLE ADDRESS
"Section 1: Business Plan.and Inventory Program
Rr 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
I�J
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
C�
❑
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?
EXPLAIN:
❑ YES jZ/NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 - 3979
Af AP_1;4-S
Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station # Business Site / Resp nsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05