HomeMy WebLinkAbouthmbp 2019 2608 OSWELL STUNIFIED PROGRAM '' •
SECTION Plan and Inventory rogra
M; � Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
ART a ' T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
A
�J
INSPECTION DATE
5 1 sificl
INSPECTION TIME
ADDRESS
��
PHONE NO.
6W 4a7 2 54N31
NO OF EMPLOYEES
' 2cl
FACILITY CONTACT
BUSINESS ID NUMBER !
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io.r �Pro� ram
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
C ❑
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
LEI ❑
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
KBF -6013
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
G U'C' 6", ag-
Inspector (Please Print) Fire Prevention / 1 In / Shift of Site /Station #
Bus'" a ite / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05