HomeMy WebLinkAbout5329 OFFICE CENTER COURTA
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME T
J
Prevention SeMees
e „ R R S r , 0 900 Truxtun Ave., Suite 210 .
FIRE Bakersfield, CA 93301
A R TO Tel.: (661) 326 -3979
NO OF EMPLOYEES
4
Fax: (661) 872 -2171
FACILITY NAME T
J
INSPECTION DATE INSPECTION TIME
r/ v- o. -y -5-
ADDRESS
5- D C
PHONE NO.
Gy- /34'y
NO OF EMPLOYEES
4
FACILITY CONTACT /
Ch Scan
BUSINESS ID NUMBER
15- 021 - ooe ry
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
ele Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
CW VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
jE HOUSEKEEPING
l-
7r FIRE PROTECTION
C SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SI E
EXPLAIN:S
RYES NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Vl /dd(dtdr//- A
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
C'
L
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05