HomeMy WebLinkAboutInspections~~ ~~~
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ~~ e_- ~ R_5 F , ___0 90o Truxtun Ave., suite 210
,_,_ ~_..._ . __. __ _ _... ~ ___ ~.. _ __ . . ~_~ ~~ ~___. .-_~- ., Fine Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ~' "RrM r Tel.: (661) 326-3979
~ ~ Fax: (661) 872-2171
r
FACILITY NAME 1, y~
~A~,\t~oCt~1~ ~al¢! Sety ~ ~J(~ ~- INSPECT]ION DATE
~I~ZZ v INSPECTION TIME
ADDRESS ~ ~ ~ O ~ n
~ ~ P N NO. ~~ NO~E
M
PLO`
Y~
A
~ ~
/
`
-0
FACILITY CONTACT BUSINESS ID NUMBER
15-021- O o 2 ~ 1
. ~ Section 9 :..Business Plan. and Irwantory Program
ROUTINE ^ 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
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
~ ^ VERIFICATION OF HAZ MAT TRAINING i ~ Y~`t r~ a ~ f L
\
`6U ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ I"IOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUES^TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
L ~~~ n lL~~ ~~
Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Bu ss Site esponsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
^ YES ~10