HomeMy WebLinkAbout1125 COLUMBUS STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
R E R S F I , I
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
A TN
Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPEC ION D TE
INSPECTION TIME
S 2►::> e, 14 A
J .
ADDRESS
12S C of
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
'
15 -021-
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Section �1g Business Plan and Inventory Program
,(0:;:ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT . ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑JO APPROPRIATE PERMIT ON HAND
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
�r ❑ VERIFICATION OF LOCATION
'
y❑o ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ _9 VERIFICATION OF HAZ MAT TRAINING
fl 11— VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
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❑ FIRE PROTECTION
❑,20 SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES -NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Preventio / P' In / Shift of Site /Station'#
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05