HomeMy WebLinkAbout647 CASA LOMA DRIVEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
HK F R S F, g o
FIRE
D - AR TM J'T;
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME INSPEC ION ATE INSPECTION TIME
J iaq/ S
ADDRESS PH NE O. O OF EMPLOYEES
4 % Z-114:9
AGILITY CONTACT BUSINESS ID NUMBER
15 -021-
C v ( C= Compliance) OPERATION
V= Violation
COMMENTS
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v ( C= Compliance) OPERATION
V= Violation
COMMENTS
Q--' APPROPRIATE PERMIT ON HAND
P-"- 11 Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
2- CORRECT OCCUPANCY
12'. VERIFICATION OF INVENTORY MATERIALS
2_ VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
0' PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
a- VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
21"- EMERGENCY PROCEDURES ADEQUATE
0- CONTAINERS PROPERLY LABELED
2" HOUSEKEEPING
2 FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
nnr -ouio
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
YES ®--60
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Insp "tor (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05