HomeMy WebLinkAbout15-021-003528UNIFIED PROGRAM INSPECTION CHECKLIST~,4
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SECTION 1: Business Plan and Inventory Program ~
~r Prevention Services
A. ~ R S~, 0 900'IYuxtun Ave., Suite 210
P/RE Bakersfield, CA 93301
D ARTM Tel.: (661) 326-3979
~ Fax: - (661) 872-2171
FACILITY NAME . INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. O OF EMPLOYEES
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FACILITY CONTACT USINESS ID NUMBER
~ 15-021-v~ 3SZ ~
Section 1: Business Plan and Inventory Program
^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSIf18SS 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 8 ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^ YES ^ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / 1°' In / Shift of Site/Station #
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS