HomeMy WebLinkAbout230 INYO STREETUNIfIED PROGRAM INSPECTION CHECKLFST'' ~ ~'evention Services
B A F R S ~, n 900 'IYuxtun Ave., Suite 210
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SECTION 1: Business Plan and Inventory Program ~;i Tel.: (661) 326-3979
i1 ~ Fax: (661) 872-2171
FACILITY NAME Q I INSPECTION DATE
z-is-o$ NSPECTION TIME
l 3Zo
ADDRESS •
"Z- 30 iNYO PHONE NO.
322-Sa/G O OF EMPLOYEES
~Q
FACILITY CONTACT
~•Eo~,~ ~ BUSINESS ID NUMBER
15-021- DO 2~'f/ L
Section 1: Business Plan and Inventory~Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND
Id ^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE
IG ^ VISIBLE ADDRESS `~ i /sl~f
(/~
^ CORRECT OCCUPANCY G~I ~ ~
^ ^ VERIFICATION OF INVENTORY MATERIAL ~/~S ~
1/
^ VERIFICATION-OFW 1' b~
^ VERIFICATION OF L ~ ,/{ u ~ ~
~/
~ ^ PROPER SEGREGATION OF MATERIAL ~JL ~~
^ ^ VERIFICATION OF MSDS AVAILABILITY ~ ~ ~ D~~
^ VERIFICATION OF HAZ MAT TRAINING
i
~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROC DURES u I I/ ,
~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~fa~vY G~t~-C~t ~ 2/~F
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