HomeMy WebLinkAbout1919 COLUMBUS STREETUNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
R S F I E D 900 Truxtun Ave., Suite 210
F/R6JARTM Bakersfield, CA 93301
T Tel.: . (661) 326 -3979
O OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
S£ L C O l-`
j' Y 1 C
ADDRESS ` HONE NO. O OF EMPLOYEES
l J- -+1—
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021- Q Z 5&0
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION Cr V ' `
PROPER SEGREGATION OF MATERIAL CL S
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
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