HomeMy WebLinkAbout1291 33RD STREET (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
r D
T
Prevention Services
900 T=tun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME D�
X
INSPECTION DATE
51-7 -10
INSPECTION TIME
6,�IAI
ADDRESS / / 33 p n
/`-J�
PHONE 0.� ��
NO OF EMPLOYEES
FACILITY CONTACT
/
BUSINESS ID NUMBER
s -oz� -(]02 3ql
Sectio''n'4: Business Plan and - 'Inventory Program
D— Ft6UTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ ❑ APPROPRIATE PERMIT ON HAND
0 ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑ 0 / VISIBLE ADDRESS
B'❑ CORRECT OCCUPANCY
B1'❑ VERIFICATION OF INVENTORY MATERIALS
�J ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
9?' ❑ VERIFICATION OF MSDS AVAILABILITY
❑ ❑ VERIFICATION OF HAZ MAT TRAINING
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ ❑ EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
Ir'❑ HOUSEKEEPING
®--_❑ FIRE PROTECTION
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND
Kbh-W J
ANY HAZARDOUS WASTE ON SITE? ❑ YES ji�_NO
EXPLAIN:
QUESTIONS REGARDING THI NSPECTION? PLEASE CALL US AT (661) 326 -3979
,e
Inspector (Please Print) Fire Prevention / 1s` 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