HomeMy WebLinkAbout1201 24TH Street`--
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A E R SF t D 900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
v �RFM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTI DA .E
INSPECTION TIME
Er ❑
APPROPRIATE PERMIT ON HAND
ADDRESS
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PHO E N
O OF EMPLOYEES
O �
�j � O
FACILITY CONTACT �0
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BUSINESS ID NUMBER
15 -021- Q 0 3 101,91
cx 0.
Section 1: Business Plan and Inventory Program
Lk%ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance) OPERATION
V= Violation
COMMENTS
Er ❑
APPROPRIATE PERMIT ON HAND
/
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
I., -e
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
i
❑
VERIFICATION OF INVENTORY MATERIALS
Q
IV ❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
O
❑
VERIFICATION OF HAZ MAT TRAINING
O
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
IV ❑
HOUSEKEEPING
❑
FIRE PROTECTION
IV ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES �NO
QUESTIONS REGARDING THIS INSPECTION? PLE CALL US AT (661) 326 -3979
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Inspector (Plea Print) Fire r e i n / 1s' In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy
nor -ouia
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FD 2155 (Rev. 09/05