HomeMy WebLinkAbout117 V STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
9
900 Truxtun Ave., Suite 210
DARTvowl
Bakersfield, CA 93301
H
4%0.
Tel.: (661) 326 -3979
Fax: 872
❑ CORRECT OCCUPANCY
(661) -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO F EMPL YEES
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESS ID NUMBER
G
15-021 -
6
r
F Section 1 Business Plan`and Inventoery Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ 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
❑ 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
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❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
r ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 60�,JNO
QUESTIONS EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
kA n 1
Inspecto Plea a Print) Fire Prevention / 1s' In / Shift of Site /Station # 4uess ite / e on ' le arty Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05