HomeMy WebLinkAbout9887 CAMINO MEDIA (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F I o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACT p� t c
INSPECTION DATE
INSPECTION TIME
v
—j I
3DM /b
ADD SS --] �
PHONE NO.
NO OF EMPLOYEES
l
-
2
FACILITY CONTACT �1 + e
CORRECT OCCUPANCY
SS ID 15 -021 -
e
VERIFICATION OF INVENTORY MATERIALS
VC)ZZli
V
Section` 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
Er'- 0
Business PLAN CONTACT INFORMATION ACCURATE
L4'�❑
VISIBLE ADDRESS
b"" ❑
CORRECT OCCUPANCY
L7
VERIFICATION OF INVENTORY MATERIALS
/❑
EPI ❑
VERIFICATION OF QUANTITIES
)
_
[J' ❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
�/❑
Q❑
VERIFICATION OF HAZ MAT TRAINING
L2"/E]
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
9 ❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
9" 0
HOUSEKEEPING
LAY ❑
FIRE PROTECTION.
❑
SITE DIAGRAM ADEQUATE R ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES k NO
EXPLAIN:
,QUESTIONS REGARDI THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 181 In / Shift of Site /Station #
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White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05