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HomeMy WebLinkAboutINSPECTIONSPrevention Services UNIFIED PROGRAM {NSPECTION CHECKLIST'.. n E R s t: , _D_ 9001~uxtun Ave., suite 210 _. _ _ _ _.~__..~~. _-.~_- .__ _,_ _ FARE Bakersfield, CA 93301 - - - ~ __ SECTION. 1: Business Plan and Inventory Program "'~'"' r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME r . C A ' / INSPE i TION DAT ~ INSPECTION TIME /fi Q t ~ `1 ~ V, ~ 0 ~ 2 1 ADDRESS ~ i ' PHONE NO. N EMPLOYEES . ~ U~ 6b 4 ~ ~~ (r ~ ~ FACILITY CONTACT BUSINESS ID NUMBER ~' ~ ' _ ~ ~ 15-021- ~,~j 7 Section 1: Business Plan and Inventory Program ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION n V1 n C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND BUSIfIeSS 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 ANY HAZARDOUS WASTE ON SITE? ^ YES ~ ~ IVO EXPLAIN: V ~ nar-auto i QUESTIONS R Inspector EGA IN IS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~' ~~'=;~ ~C - Print) re Prevention / 15~ In /Shift of Site/Station # ~` usiness Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05