HomeMy WebLinkAboutHAZMAT INSP 11/21/2008UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and lnventory Program
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Prevention Services
900 TYuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979 ~
Fax: (661) 872-2171
FACILITY NAME
KiSGv S~uiS ztic. INSPECTION DATE
11- Z/-v8 INSPECTION TI
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ADDRESS HONE NO. NO OF EM OYEES
301 s~~,ti~,2 G~~- 3Z ~-~~~G
FACILITY CONTACT BUSINESS ID NUMBER
1"'1l'}/L///t~ H'1 ~GO 15-021- ~~2jc.f
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Section 1: Business Plan and Inventory Program ~
ROUTINE ^ COMBINED ^ JOINTAGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
IL! ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
JG ^ CORRECT OCCUPANCY
~ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~la ~ VERIFICATION OF MSDS AVAILABILITY
!d ^ VERIFICATION OF HAZ MAT TRAINING
~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~ ^ EMERGENCY PROCEDURES ADEQUATE
.PII ^ CONTAINERS PROPERIY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^ YES 5d' NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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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. 09/05