HomeMy WebLinkAbout2150 S. UNION AVE Prevention Services
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UNIFI,ED PROGRAM INSPECTION CHECKLIST
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Suite,210
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SECTION 1 Business Plan and lnvento Pro ram "'�r'I"� �,,r Tel.: (66.1) 326-3979
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FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO'. NO OF EMPLOYEES
'FACILITY CONTACT BUSINESS ID NUMBER
ti 15-021- "y
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COMPLAINT
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C ROUTINE ❑ COMBINED ❑ JOINT AGENCY El 'MULTI-AGENCY RE-INSPECTION
C=Compliance
P E TION C V O ''COMMENTS
V=Violation
APPROPRIATE PERMIT ON tHAND
E', E Business.PLAN CONTACT INFORMATION ACCURATE
E,,.:.. ❑ VISIBLE.ADDRESS
0 E CORRECTOCCUPANCY
1:1 VERIFICATION OF INVENTORY MATERIALS
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El, E VERIFICATION-OF QUANTITIES
E E VERIFICATION OF LOCATION
El."."" E' PROPER SEGREGATION OF MATERIAL
El" E VERIFICATION R CATION O AVAILABILITY: .
. F MSDS , ,
ET;' E VERIFICATION OF HAZ MAT TRAINING
C7 E VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
E EMERGENCY PROCEDURES ADEQUATE
E
E CONTAINERS PROPERLY LABELED
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❑ E HOUSEKEEPING
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E 0 FIRE PROTECTION
Ell, CJ SITE DIAGRAM ADEQUATE&ON HAND
KBF-013
-ANY HAZARDOUS WASTE ON SITE?
YES' ❑ NO ,
EXPLAIN: . k
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QUESTIONS REGARDING THIS INSPECTION? PEASE CALL US AT (661) 326-3979
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Business Site/Responsible Part Please Print)
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Inspector (Please Print) Fire Prevention/.1St In,/Shift of Site/Station# p Y
White—Prevention Services Yellow Station•Copy Pink-Business Copy. FD 2155 (REV..09/05