HomeMy WebLinkAbout430 E 21ST STREETUNIFIED PROGRAM INSPECTION CHECKLIST{~
~_r-~:~~~-~-~:_~-~._.~_ __-.~-=-~. ~~:~.._~-~_~~--~_.~ _.~ _,~:__:~-~-,
SECTION 1~: Business.Plan and Inventory Program ;
. ~
~
a eRSr•~_ o
F/RE
D ARTM
~
Prevention Services .
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979 •
F~: (661) 872-2171
FACILITY NAME
L ~ L~1~'(iJL N 0 al G ~• 1 ~tJ G INSPE, TION DATE
I~- l~' ~ INSPECTION TIME
~ Z s~
ADDRESS ~~~ IL , ~' s J HON? ~_ 9G yG
3~ O OF EMPLOYEES
FACILITY CONTA T BUSINESS ID NUMBER
15-021- O DO Z 7,~
~ .
Section 1: Business Plan and Inventory Program "'' `'
ROUTINE ^ COMBINED ^ JOINTAGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~ia~ce~ OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND .
{C ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
I~J ^ VERIFICATION OF LOCATION
~ ^ PROPER SEGREGATION OF MATERIAL
Lf ^ VERIFICATION OF MSDS AVAILABILITY .
~^ VERIFICATION OF HAZ MAT TRAINING ~
~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION ~ ,`~. ~ ~ D ~
J~
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^ YES ~v7 NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979
~ti.1 i t~f~N~ GA-L~9 GY~~-- Z/~ ~~ 9.
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # Business Site / R onsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05