HomeMy WebLinkAboutHazmat Insp 6/18/10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
�► Prevention Services
A_. r, R S r 1 0 900 Truxtun Ave.,_ Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECT' N DATE
INSPECTION TIME
-S0. ✓� 8 � c � ✓1 r� ��D � .
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ADDRESS
2 v ! (klvi ON kvc
PHONE NO.
32y y-
NO OF EMPLOYEES
FACILITY CONTACT
,A� �
Gr�3 f�N ?3 �-
BUSINESS ID NUMBER
15- 021 -�y69
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4e �e
:$ec els tlon" 1 Bush Plarr'and'I•inventory Program
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ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTkAGENCY ❑ COMPLAINTS ❑ RE- INSPECTION
C v r C= Compliance OPERATION
l V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
Mr ❑ VISIBLE ADDRESS
A- ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
4r— ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING .
❑ FIRE PROTECTION
/O
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? �ES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) - Fire Prevention / P` In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05