HomeMy WebLinkAbout1-8 MILE CBK 22UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
"ARTM Prevention Services
900 Tr6ktun Ave., Suite 210
Bakersfield, CA 93301
D -Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION} DATE
17 /!
INSPECTION TIME
1_ o0
ADDRESS
I- 8
PHONE NO.
201 310 3
NO OF EMPLOYEES
v
FACILITY CONTACT
BUSINESS ID NUMBER
G%I I o [
15 -021-
Section 1 9, Siness Plan and Inventory Program >;
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
It
❑
APPROPRIATE PERMIT ON HAND
N ►'Y1gNNC --D S [
ID
❑
Business PLAN CONTACT INFORMATION ACCURATE
t9
❑,
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
IR
❑
VERIFICATION OF INVENTORY MATERIALS
19
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
I�.
❑
PROPER SEGREGATION OF MATERIAL
IQ
❑
VERIFICATION OF MSDS AVAILABILITY
j
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
�L
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES lW NO
EXPLAIN:
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 # usine Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05