Loading...
HomeMy WebLinkAboutInspectionsUNIFIED PROGRAM INSPECTION CHECKLIST=? V6W11A;,. '.:~.;f,'D: ~IA4i`.~p4`drS"?;..x5'+'~. P IM.; ,~.:!: -.~., ~. •.~: ... .'i.. -... . .:.~ :'.:... ;'.: ... :.F:'.: . .SECTION 1: Business Plan and Inventory Program BASERSF1tELD FIRE DEPT a Prevention Services ~,tiRS 900 Truxtun Ave., Suite 210 ~~ir Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME / G a /i` -f- 7- /~ - o CQ rJ ~ n ' ADDRESS HO'E NO O OF EMPLOYEES / ~ '/ C / S~ ~ /'- i ~ Z 1 J FACILITY CONTACT ~ ~ ~ USINESS ID NUMBER ~~ I 15-021- ( ~-lt ~ ~ ra s c ~ ~ ---- --- Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~~ C V (c=Compliance) OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND . ^ BUSIft@SS PLAN CONTACT INFORMATION ACCURATE C} ^ VISIBLE ADDRESS l~L ^ CORRECT OCCUPANCY (~Y ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES '~ ^ ^ ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ,VERIFICATION OF MSDS AVAILABILITY ~ U L 19 2006 '~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE _ ^ CONTAINERS PROPERLY LABELED ' ^ HOUSEKEEPING / i ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: - _ __ ~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 v a N Inspector (Please Print) Fire Preve lion / 1'~ In / Shift of Sfte/Station q Business Schoo esponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rw. 0210 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILiTY NAME f~,/e'"J-f/JOt'['£~ INSPECTION DATE ADDRESS /z~w 3 t~q,k~r £~. PHONE NO. ?z.'4 - ? FACILITY CONTACT .cc../7 ~,-/c~ BUSINESS ID NO. 15-210- INSPECTION TIME /fflY" NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program : [~ Routine [~ Combined [~ Joint Agency [~ Multi-Agency [-~ Complaint J~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ' Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location V Proper segregation of material Verification of MSDS availability Verification of Haz Mat training V Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand 1,/ C=Compliance V=Violation Any hazardous waste on site?: ~] Yes Explain: / ~./ Questions regarding this inspection? Pleas~ call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~~'::~' OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME f"--'af~-E~5 ,~a..oo,-~¢ INSPECTION DATE ~, ADDRESS ~'9... t ? l'~6,4~ B'I"' PHONE NO. FACILITY CONTACT '.5gCoT~ C-~Z.Cc~ BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program fO 3 [~ Routine O Combined O 3oint Agency O Multi-Agency O Complaint O Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate 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 C=Compliance V=Violation Any hazardous waste on site?: [~l Yes J~o l~e~ Pa~/ Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Responsible White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:``/