HomeMy WebLinkAboutHAZMAT INSP 9/16/2006Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST., R E R 5 e ~ , n 90o nuXtun Ave., suite 210 .
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program aerM r Tel.: (661) 326-3979
• ~ Fax: (661)872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
t~1 SCb 5 zirJC. ~l~-I~-OG // D
ADDRESS
3C~ / ~
S~~ti~2 - PHONE NO.
327-~~~~ NO OF EMPLOYEES
C~
FACILITY CONTACT
~V ~ ,, ~
:~®~ BUSINESS ID NUMBER
15-02
1- Q~d Z79
I
i
Section 1: Business Plan and Inventory Program ~~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
L~l ^ APPROPRIATE PERMIT ON HAND
I~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
a~ ^ VISIBLE ADDRESS
(~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
! ^ VERIFICATION OF LOCATION
E~ ^ PROPER SEGREGATION OF MATERIAL
L~ ^ 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:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Business Site / Respor
_ ~ White.- Prevention Services ~ Yellow -Station Copy- -- ~ Pink -Business Copy -
^ YES f~0
FD 2155 (Rev. 09/05