HomeMy WebLinkAbout1100 California AveUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
'B A r� R s r. i
FIRE
YN
7'AR TN
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
1WA'L'T
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ADDRESS
1100 aLLr-OA�J tA-
INSPE TION ATE
1
PH QNE NO
,r
A
INSPECTION TIME
NO OF EMPLOYEES
FACILITY CONTA T
LQAVFA-
BUSINESS ID NUMBER
15-021-
ROUTINE 1:1 COMBINED ❑ JOINT AGENCY 1:1 MULTI-AGENCY 1:1 COMPLAINT ❑ RE-INSPECTION
C v (e= Compliance —� -- OPERATION
V=Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
k-14 ❑ CORRECT OCCUPANCY
1:1 VERIFICATION OF INVENTORY MATERIALS
NJ\ ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
N—A
M1 1:1 PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
A
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
a .0
I-A
ANY HAZARDOUS WASTE ON SITE? MIYES ❑ NO
Ly 9
EXPLAIN f I Af
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Preventiorf/ 1St In / Shift of Site/Station #
v
siness Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05