HomeMy WebLinkAboutInspections~~ ~~~~~
UNIFIED PROGRAM LNSPECTFCSN`C~iECKLIST
S:ECTION '1: Business Plan and Inventory Program
~+ Prevention Services
B A F R S F, D 900 Truxtun Ave., Suite 210
F-ee Bakersfield, CA 93301
v aarM Tel.: (661) 326-3979
(661} 872-2171
F
ax:
FACILITY NAME -
~ c~ Lc--- s s E a-~ ~ ~~ S - INSPECTION DATE
" 1 ~ INSPECTION TIME
ADDRESS
fp ZO F - ~.~,np.~~~ PHONE NO.
3zz ~P~Z,S~ NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15-021- C~(y~%
- - - --
Section 1: Business Plan and Inventory Program
^ ROUTINE LJ'~+(.OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V. - . ~ C=Compliance O P E RATFO N
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS ~ p 'R ~ Qts ~~ Sq ~ ~ ~ ~ -STS ~9~
^ 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
,5$~~N~)h~ Sy.Y~m..~ N~Q~~ ~ a>~ S
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ~,nL YES ^ NO
EXPLAIN: ~ GS-3't (~\, ~ ~~ ~ ~ Q !'S 2~ ~'
~l1~) L,
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
r
Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Bu Hess Si / Resp nsible Party (Please Print)
White -Prevention Services _ Yellow -Station Copy - - Pink -'Business Copy - FD 2155 (Rev. 09!05