HomeMy WebLinkAbout12775 Stockdale Hwy Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST J -�— 900 Truxtun Ave. Suite 210
....... _ .....
Bakersfield, 01
FIRE Bak sfield, CA 933
SECTION 1 : Business Plan and Inventory Program ARrM r Tel.: (661) 326-3979
rY g
Fax: (661) 872-2171
FACILITY NAME - INSPECT N DA INSPECTION TIME
4
„� �, Sl'", �,
ADDRESS PHO E O. NO OF EMPLOYEES
_ lU
FACILITY CONTACT BUSINESS ID NUMBER ,
15-021-
,
E
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V ( c=Compliance) OPERATION -�
COMMENTS
V=Violation
❑ ❑ APPROPRIATE PERMIT ON HAND
❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION `
; PROPER SEGREGATION OF MATERIAL
K ❑ VERIFICATION OF MSDS AVAILABILITY
® ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING e C
cL
9;�j
ear I
❑ FIRE PROTECTION
elan ir
❑ SITE DIAGRAM ADEQU TE&ON HAND
KBF-6013
ANY HAZARDOUS WA TE ON SITE? ❑Y NO
EXPLAIN: AL AA(A;"_2
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
y� P 1 f�_" ..
In pector (Please Print) ire Preven�on/1St In/Shift of Site/Station# Bus' ss onsible Party(Please Print)
� r
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05