HomeMy WebLinkAbout3701 MT VERNON AVENUEUNIFIED PROGRAM INSPECTION CHECKLIST
Prevention ServicesJE! 'Itixa5F , 0 900 tun Ave., Suite 210
F /RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTS r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
COMMENTS
APPROPRIATE PERMIT ON HAND
INSPECTION DATE INSPECTION TIME
2 s
2--El CORRECT OCCUPANCY
ADDRESS HONg NO. O OF EMPLOYEES
l!' -
I
12"""E] VERIFICATION OF MSDS AVAILABILITY
FACILITY CONTAC
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
BUSINESS ID NUMBER
15- 021 -
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
Section 1: Business Plan and Inventory Program
OUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c e= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
2--El CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
I
12"""E] VERIFICATION OF MSDS AVAILABILITY
PK-0 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? J <ES NO
EXPLAIN: 1211c l Ltj la 11 Im AZn 10i`
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Stfe / Responsible Party (Please Print)
K.F 13
N
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05