HomeMy WebLinkAbout911 18THUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
R S F t 900 Truxtun Ave., Suite 210
FIREJA Bakersfield, CA 93301
RrM r Tel.: (661) 326 -3979
O OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME INSPECT) N DATE INSPECTION TIME
Q 00
ADDRES PHONE NNO7 O OF EMPLOYEES
F CILITY CONTACT BUSINESS ID NUMBER
s 15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
PPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
2' // PROPER SEGREGATION OF MATERIAL
f!Y VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L<G EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES Lam'
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
CO" /
r s 13'odo , / G
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05