HomeMy WebLinkAbout108 MADISON STREET (3)Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST e e R 3 F , . 0 900Truxtun Ave., Suite 210
FIRS I Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program oVARrm ,r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME INSPEC ION DATE INSPECTION TIME
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
S'" ;I7 s-
ADDRESS PHONE Nb.
I, W
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15 -021-
Section 1: Business Plan and Inventory Program
53- ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
I- APPROPRIATE PERMIT ON HAND
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
P- VISIBLE ADDRESS
fY CORRECT OCCUPANCY
P"' VERIFICATION OF INVENTORY MATERIALS
El- VERIFICATION OF QUANTITIES
l(Y VERIFICATION OF LOCATION
IK PROPER SEGREGATION OF MATERIAL
Q/ VERIFICATION OF MSDS AVAILABILITY
I VERIFICATION OF HAZ MAT TRAINING
Imo" VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
4K CONTAINERS PROPERLY LABELED
Q HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES 03 INC
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
e L (Q, a, 14 41-2 -1 A LA_ le
Ins? or (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site 7 Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05