HomeMy WebLinkAbout9001 STOCKDALE HWYUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B A _ . r, R S 1\
i
900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
DE Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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Business PLAN CONTACT INFORMATION ACCURATE
5 brl,
ADDRESS
e a_ 3 ! -
P40NE NO.
lam( %15V_ ZG
NO OF EMPLOYEES
In n 11
FACILITY CONTACT BUSINESS ID NUMBER
15 -021-
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Section 1: Business Plan and Inventory Program
QfkOUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V ( C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY nl
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
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN: L m - 1 v v i 4 i_ i, . D ri r> V
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Business Site I Re`s onsible Pa Please PrintInspector (Please Print) Fire Prevention 1" In I Shift of Site/Station # ,/ P rtY ( )
White — Prevention Services Yellow - Stallon Copy Pink — Business Copy FD 2155 (Rev. 09/05