HomeMy WebLinkAbout4450 STINE ROADUNIF ED PROGRAM INSPECTION CHECKLIST
o-
FACILITY NAME
I 4 2r i X10 ios
p .
Prevention Services
R A li R S F I? D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARYM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
I 4 2r i X10 ios
p . INSPECTION DATE
5 `1 (.0 - I d-
INSPECTION TIME
1.3 5-
ADDRESS
Z
PHONE NO.
gQ
NO OF EMPLOYEES
FACILITY CONTACT `'
r0.k men Y- ' S 2A(S
BUSINESS ID NUMBER
15- 021 -3-3
C V C= Compliance OPERATION
V= Violation
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
Va VISIBLE ADDRESS
CA] CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
le
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
W SITE DIAGRAM ADEQUATE & ON HAND SIC' ec
ANY HAZARDOUS WASTE ON SITE? YES K NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
0 / Z w(617Z Z_ l3l
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05