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HomeMy WebLinkAboutINSPECTIONS~1~~~ UNIFIED PROGRAM INSPECTION CHECKLIST 4 SECTION 1: Business Plan and Inventory Program B _-- B R S F 1~ D F/RE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ~~~d~~~~ ~~~~f S®~~ C13x - 2 ADDRESS PHONE NO. ENO OF EMPLOYEES 13 '1 ©~ v t ~ ~ i'h ~ d e t ~ ' g 3 ~ ^ 7 Zr~~ w v~ ,,.o..,.~ FACILITY CONTACT BUSINESS ID NUMBER 15-021- oU 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 ^ BUSIII2SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS a ~~Q i ^ VERIFICATION OF QUANTITIES ~~ '~fl ^ VERIFICATION OF LOCATION - I ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~~ ^ VERIFICATION OF HAZ MAT TRAINING 1 h V~~ = '~ °'~ ~ ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES i ^ EMERGENCY PROCEDURES ADEQUATE r~~ d Se c~ ,^ ~ t { Cv ~ < < ~, . -i v ^ CONTAINERS PROPERLY LABELED G ~ 1 ~ c(w ~'w~ ~~ ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ^ YES ^ NO Ker-oul~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 G ~G-~ ~ Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Busin Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105