HomeMy WebLinkAbout1622 UNION AVENUE.'UNIFIED PROGRAM INSPECTION CHECKLIST)
SECTION 1: Business Plan and Inventory Program
FACILITY NAME 6*,
Prevention Services
B R 5 F._I _0
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
ARTM r
Tel.: (661) 326 -3979
NO OF EM'S
Fax: (661) 872 -2171
FACILITY NAME 6*,
INSPECTION DAT %�j//i)
INSPECTION TIME
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ADDRESS
PH NE NO.
NO OF EM'S
FACILITY CONTACT
BUSINESS ID NUMBER
❑ COMBINED ❑ JOINT AGENCY
15 -021-
C
^Meties
( C= Compliance OPERATION
V= Violation
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❑
APPROPRIATE PERMIT ON HAND
❑
ROUTINE
❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSifteSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
�l
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
i�
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
1P
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZ R OUS WASTE ON SITE?
EXPLAIN: S 4-e U,'040e z
YES ❑ NO
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QUESTIONS RE SING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
In ctor (Please Print) Fire Prevention / 1" In / Shift of Site /Station # siness Site / Resp n' ble arty ( ase Print)
White —Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05