HomeMy WebLinkAbout800 20th Street_HMBP 5.27.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST�i a R R S F t o 900Truxtun Ave., Suite 210
— --- �- - _ -- FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program j1 ARTM Tel.: (661) 326 -3979
1 Fax: (661) 872 -2171
FACILITY NAM
INSPECTION DATE�y
INSPECTION TIME
(1� ❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS � Q +�
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
t G l G
BUSINESS ID NUMBER
15- 021 - 000730
,$Pcti:on 1: Business Plan and Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
j ❑ APPROPRIATE PERMIT ON HAND
(1� ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
i
I ❑ VERIFICATION OF QUANTITIES
�\ ❑ VERIFICATION OF LOCATION
5°l ❑ 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 REGARDI NG THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
(JU 'u 1/4111
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