HomeMy WebLinkAboutH & PANAMA70 P r
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F t o 900 Truxtun Ave., Suite 210
*FIRE Bakersfield, CA 93301
ARrff rN r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACIp NAME
INSPECTION DATE
INSPECTION TIME
66_5 V AXIAhA
IO
ADDRESS
O NO7
F F EE
OM LOYEES
7^ VA
r/
FACILITY CONTACT
BUSINESS ID NUM61J
G
-U21 -
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Sectlon1Buslness Pslanandlnventory'Program=
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
J
q� ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE.
❑ VISIBLE ADDRESS
l� ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
l ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
Jk ❑ VERIFICATION OF HAZ MAT TRAINING
it ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I� ❑ EMERGENCY PROCEDURES ADEQUATE
1K ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN: /
ONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
(Please Print) Fire Prevention / 1 In / Shift of Site /Station #
* 4
Business Site / Responsible Party (Please Print)
rear -WJ
White - Prevention Services I Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05