HomeMy WebLinkAbout1616 U STREETPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST n pt;i;E
r , 900Truxtun Ave., Suite 210
I Bakersfield, CA 93301
SECTION 1.: Business Plan and Inventory Program "
RrM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
V C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
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J - /C) // — r /
ADDRESS HONE NO.
W, / 2q
NO OF EMPLOYEES
FACILITY CONTACT
0
BUSINESS ID NUMBER
15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
2' APPROPRIATE PERMIT ON HAND
0 Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
0 CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
CT VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
O PROPER SEGREGATION OF MATERIAL
I VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
Q VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
Cr] i
HOUSEKEEPING
p FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention/ 1" in/ Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05