HomeMy WebLinkAbout730 POTOMAC_HMBP 6.18.10Prevention Services
r. UNIFIED PROGRAM INSPECTION CHECKLIST _R.s � I. 900Truxtun Ave., Suite 210
B A
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ° ae�M Tel '.: (661)326 -3979
'Fax: (661) 872 -2171
FACILITY NAME / /j
tZi� e,-�-r 4 s S o cl a_47 o r,
INSPECTION DATE
�� �
INSPECTION TIME
ADDRESS
730 Pv-�-o
PHONE NO.
32'y— 9WW'
NO OF EMPLOYEES
An
FACILITY CONTACT
�— V^-
BUSINESS ID NUMBER
15 -021 - f
S'
sines Plan and Inwento'
ry, Pro;gram
ectlon' 1 Bu
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
Ck- ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
a ❑ VERIFICATION OF LOCATION
❑ PROPER'SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L#1' ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
/
C-471 01C, l �� S43- 3
El SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
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. 09105