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HomeMy WebLinkAbout1112 20th StreetUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services E A E R S F, 0 900 Truxtun Ave., Suite 210 kft, Bakersfield, CA 93301 r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE TION ATE INSPECTION TIME - 4e"4�&W S �G !G G w•1 ADDRESS PHONE NO. 37- 7 -��qZ NO OF EMPLOYEES FACILITY CONTACT )) ) Se�" GLCt�Vit [ ,� BUSINESS ID NUMBER 0125 15- 021 - 0007zy Section 1 °Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE �( ❑ VISIBLE ADDRESS /vJ ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES I ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES vj ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ,{ pt ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES `Y4, NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ''44 �YM1 /v�a a I`i /poibl arty (Please Print) Inspector (Ple Print) Fire Prevention / 1s' In / Shift of Site /Station # Business White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05