HomeMy WebLinkAboutHazmat Insp 12/11/08UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: ~ Business Plan and Inventory Program
Prevention Services
A F R S e, .„ 900'IYuxtun Ave., Suite 210 '
FiRE Bakersfield, CA 93301
D AR~M Tel.: (661) 326-3979
~ Fax: (661) 872-2171
FACILITY NAME INSPECTION D TE
' INSPECTION E
~J v ~N T~-~~2 Cv. Z'~~''~~ J y !~
ADDRESS Z O r ~ 61rO~
/V PHONZ O.' ~~/ ~
3 '-~ NOOF' E;P~EES
L
FACILITY CONTACT BUSINESS ID NUMBER.
/~~~-i~ L~w~, 15-021- QOD~~
~ ~ Section .1: B~usiness Plan~~`and~~l~nventory P~o;grarii ~~~ ~ ..
~ ~ , ~ _. ,_ ... . ~~r.e. . . -
ROUTINE ^ COMBINED ^ JOINTAGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-WSPECTION~
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
IlJ ^ APPROPRIATE PERMIT ON HAND
^ BUSICI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
1Q ^ 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 & ON HAND
ANY HAZARDOUS WASTE ON SITE? ~ES ^ NO
EXPLAIN: w~ ST~Z~ O( L
QUESTIONS REGARDING THIS INSPECTION? P~ense en~~ us• nr (661) 326-3979 /l~/~~
~
/4/uT4ton~4' G~~-GR ~q `Z ~~
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