HomeMy WebLinkAbout5600 AUBURN ST_TODAY CLEANERS HMBP 4.8.20rVYYI
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST''' B E S F, 0 900 Truxtun Ave., Suite 210
IRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program "'�r"' r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE _ :INSPECTION TIME
J,co 4-456n4 ,Z IS;- ' 3
ADDRESS PHONE 40. NO OF EMPLOYEES
5-e., '04" j?q 0.4,4 &42 cv 34- 1218
FACILITY CONTACT BUSINESS ID NUMBER
15 -021- -,92
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1St 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
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION COMMENTS
V= Violation
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIC1eSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
`K,
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
i
❑
VERIFICATION OF LOCATION
L.
❑
PROPER SEGREGATION OF MATERIAL
_C
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
7
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1St 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