HomeMy WebLinkAboutN_A (2)UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program
Prevention Services
B A R R S F I D 900 Truxtun Ave., Suite 210
FIB; Bakersfield, CA 9301
ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME !
t
INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND
Z
FACILITY CONTACT BUSINESS ID NUMBER
1 S 15-021 -
VISIBLE ADDRESS
Section 1: Business Plan and'lnventory , Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Z Business PLAN CONTACT INFORMATION ACCURATE r
P VISIBLE ADDRESS
CORRECT OCCUPANCY
yI VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
E PROPER SEGREGATION OF MATERIAL
Y" VERIFICATION'OF MSDS AVAILABILITY
10 VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SURPLIES AND PROCEDURES
1_
LJ EMERGENCY PROCEDURES ADEQUATE
kI CONTAINERS PROPERLY LABELED
2- HOUSEKEEPING
0 FIRE PROTECTION
Ef SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:'
YES NO
QUESTIONS REGARDING THISSPECTION? PLEASE CALL Us AT (661) 326 -3979
r
Inspector (Please Print)
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Fire Prevention / 1" In / Shift of Site /Station #
While — Prevention Services Yellow - Station Copy Business Copy FD 2155 (Rev. 09/05