HomeMy WebLinkAboutBERNARD & KINGPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B R 5 F. 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171 4
FACILITY NA_
INSPECTION DATE
INSPECTION TIME
ADDRESS - \,�
Q
PH NE NO.
7
NO OF EMPLOYEES
FACILITY CVACT
a„ - J �c c e r�
BUSINESS ID NUMBER
15- 021- 001_ll g
x
Section 1,. ,Busines Plan and Inyento,ry Program
ry ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
,_ /❑
R ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
Q
OV"O PROPER SEGREGATION OF MATERIAL
D
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
1;V"11 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Id ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
nnr -ouiu
ANY HAZARDOUS WASTE ON SITE? ❑ YES U NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
F , � % 1\4a& 1\ L i a. I y 1c,
Inspec or (P se Prin Fir Prevention / ' In / Shift of Sit /Station # ite / Resoonsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05