HomeMy WebLinkAbout210 MONTCLAIR STREET5Tp D-1 I .A- 14
UNlFiED PROGRAM lNSPECTION CHECKLIST
SECTlON 1: Business Plan and inventory Program
FACILITY NAME
I
CJI l' ' ,/O"I j
Prevention Services
A E R 5 F , P_ _0 9001Yuxtun Ave., Suite 210
FIRS 2 Bakersfield, CA 93301
ARTH r Tel.: (661) 326 -3979
PHONE NO.
Fax: (661) 872 -2171
FACILITY NAME
I
CJI l' ' ,/O"I j
1bA,,- 3-a
APPROPRIATE PERMIT ON HAND
INSPECTION DATE
J l I l f--.
INSPECTION TIME
I Z c5-0
ADDRESS
Z m S
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
VERIFICATION OF QUANTITIES
BUSINESS ID NUMBER
15- 021 -,355
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C b Q C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
l VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
1\ VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
Q`] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
151, HOUSEKEEPING
Jk 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)
Kbr-buli
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05