HomeMy WebLinkAbout13001 STOCKDALE HWY (8)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B e R s F t o 900 Truxtun Ave., Suite 210
FARE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
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ADDRESS �`^ /`
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HON NO.
NO OF EMPLOYEES
CI ❑ CORRECT OCCUPANCY
FACILITY ONTAC
BUSINESS ID NUMBER
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15- 021 - 6
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
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❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
CI ❑ CORRECT OCCUPANCY
EV ❑ VERIFICATION OF INVENTORY MATERIALS
0'_ ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
LK ❑ PROPER SEGREGATION OF MATERIAL
B" ❑ VERIFICATION OF MSDS AVAILABILITY
l� ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? k'YES ❑ NO
EXPLAIN:
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 # Business Site / Responsible Party (Plea nn
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05