HomeMy WebLinkAbout RAPHAEL AVENUEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
R e R S F I E o 900 Truxturt Ave., Suite 210
F/RE Bakersfield, CA 93301
AM FN r Tel.: (661) 326 -3979
O OF EM ES
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
C-,( k Lj x--U- S (c- x Z ffk-
ADDRESS PHONE NO. O OF EM ES
6.q e,
Business PLAN CONTACT INFORMATION ACCURATE
FACILIW CONTACT BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021- - - --
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT - 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
01 CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? YES XO
EXPLAIN: V `y l' I Ei Pd( G lZ
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1M In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05