HomeMy WebLinkAbout421 E 18TH STREET~ Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST, . n 9oo~-uxtun.~ve., Suite 210
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SECTION 1: Business.Plan and Inventory Program ;' ~ aRrM Tel.: (661) 326-3979
~ ~ Fa~c: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS
y2! rL. l8~ PHONE NO. ,`~ ~~
~3~ ~ O OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
• 15-021- ~~ ~~ 0~
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~~ 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
^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
~ ^ PROPER SEGREGATION OF MATERIAL
Q ^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
C7 ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED ,
O HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? +PfYES ^ NO
EXPLAIN: ~~ Sr/i _ ~/ L.
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 Si Responsible Party (PI se Print)
White - Prevention Services Yetlow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS