HomeMy WebLinkAbout5060 CALIFORNIA AVENUE (4)UNIFIED PROGRAM INSPECTION CHECKLIST
prevention Services
JDARFM!i
R s r , , 0 900 Truxtun Ave., Suite 210
Fine Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
j Fax: (661) 872 -2171
FACILITY NAME V INSPECTION DATE INSPECTION TIME
r -Zo/
ADDRESS PHONE NO. NO OF EMPLOYEES
so (0 U 11;2 a61 3zz_ /o e::
FACILITY CONT CT
90-4+ tz r e, law] iq 4 r
BUSINESS ID NUMBER
1
15- 021 - aspq
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 n
VISIBLE ADDRESS
CORRECT OCCUPANCY
1
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
l,l)
f"
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING '
VERIFICATION OF ABATEMENT SUPPLIES'AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
Q FIRE PROTECTION
Y
C SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES NO
11
QUESTIONS REiGARDINgrTHIS INSgECTION? PLEASE CALL US AT (661) 326 -3979
J-944
Inspector (Plea a Pri t) Fire Prevent -ion / 1In /'Shift of Site /Station W-j Business Sit ./,ResponsiblA'Party Plea
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05