HomeMy WebLinkAboutH & PANAMA STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A P R s , ,_, 9001Yuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
A. Tel.: (661) 326 -3979
'Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
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11-
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ADDRESS
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PHONE NO.
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NO OF EMPLOYEES
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BUSIneSS PLAN CONTACT INFORMATION ACCURATE
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FACILITY CONTACT
BUSINESS ID NUMBER
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15- 021 - �jdo Ys6
:` Section 1 Business Plan and Inventory Program
I. ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ - MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
I
C
V
r C= Compliance OPERATION
l V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
40
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
I
❑
VISIBLE ADDRESS
,Q
❑
CORRECT OCCUPANCY
FI
❑
VERIFICATION OF INVENTORY MATERIALS '
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
�1
❑
PROPER SEGREGATION OF MATERIAL
1$I
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
I�
❑
CONTAINERS PROPERLY LABELED
JQ
❑
HOUSEKEEPING
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❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105