HomeMy WebLinkAbout5401 GASOLINE ALLEYUNIFIED PROGRAM INSPECTION CHECKLIST d e a s r t e i
Prevention Services
o 900 Truxtun Ave., Suite 210
I FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program 1 ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACI AME INSPECTION DATE INSPECTION TIME
D `/S`
ADDRESS \ PHONE NO.
973 - -(j'7 j
NO OF EMPLOYEES
FACILITY CONTACT / /BUSINESS
h/
ID NUMB15-021 G-2'%
t J (J
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
VISIBLE ADDRESS
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
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?
EXPLAIN
YES IR-NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Ffnt) Fire Prevention / 1W In / Shift of Site /Station # ease
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05