HomeMy WebLinkAbout1201 24TH STREET #AUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F, p 900'IYuxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
ARTM r Tel.: (661) 326-3979
~ Fax: (661) 872-2171
FACILITY NAME
(.~ e.,ll INSPECTION DATE
~~ z~d S INSPECTION TIME
~ S
ADDRESS ~
a ~ ~ ~ y~-ti ^ ~~ c ~~~ HONE NO.
y3~ ;,z o O OF EMPLOYEES
, ~
FACILITY CONTACT USINESS ID NUMBER
15-021- 4 0 3 y' 9'/
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
BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES -
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES q~
~
^ EMERGENCY PROCEDURES ADEQUATE 1~
^ CONTAINERS PROPERLY LABELED O J'n' 1
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
~o~-o~~~
ANY HAZARDOUS WASTE ON SITE? ^ YES L~A NO
EXPLAIN: ~~ u~a.P~~ ~'M~r.h~_~' ^ G' ~ .~.c~. (Qc,~. 5-~-~c~ ~ ~ 1 - L/ ~/ - </~ ~/ ~~c ~.S
QUESTIONS REGARDING THIS INSPECTION? P~ease cn~~ us aT (661) 326-3979
Inspector Please Print) Fire Pre ntion / 1~' In / Shift of Site/Station #
White - Prevention Services , Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS