HomeMy WebLinkAboutTRUXTON & OAKPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST! B e R s F. 9001ruxtunAve., Suite 210
-- - -- - - - --�1 FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Prog ARTM T Tel.: (661) 326 -3979
ram Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
B
❑
ADDRESS
PHONE N0.
NO OF OYEES
❑
BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
FACILITY CO T CT
BUSINESS TD NUMBER
VISIBLE ADDRESS
15 -021-
e"e L a
❑
Section 1: Business' P.,lan and Inventory Pr"ram
(er ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
B
❑
APPROPRIATE PERMIT ON HAND
i
❑
BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
Pr
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
0
❑
VERIFICATION OF LOCATION
Vr
❑
PROPER SEGREGATION OF MATERIAL
yJ
❑
VERIFICATION OF MSDS AVAILABILITY
m
❑
VERIFICATION OF HAZ MAT TRAINING
0
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
,8
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
f,Y
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES .0'-NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Pleas rent ire Prevention / 1s' In /Shift of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05