HomeMy WebLinkAbout1220 TRUXTUNUNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
B.._ F R S_ F I o 900 Truxtun Ave., Suite 210
-- — -- = _ -= j iiRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ti ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME /f
r+C. K. �A/ lP C/ ♦
INSPECTION DATE
Y_ ?,
INSPECTION TIME
ADDRESS
27_o
PHONE NO.
-3210- Sod Z
NO OF EMPLOYEES
f
FACILITY CONTACT
BUSINESS ID NUMBER
tai IG,s
15 -021-
.$ection 1: 'Business Plan and Inventory Program_
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
/
2
❑
APPROPRIATE PERMIT ON HAND
R
❑
Business PLAN CONTACT INFORMATION ACCURATE
Pe
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
((
❑
VERIFICATION OF LOCATION
I
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
IQ
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
le
❑
CONTAINERS PROPERLY LABELED
'iy
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
iii _
EXPLAIN: I A F -
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
IW i �c e �R LC Y
usiness Site / Responsible Pa (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05