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
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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
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❑ 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