HomeMy WebLinkAbout1321 IVAN STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B_ rA. 1 0 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel..: (661) 3 26 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
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❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS / '�, ��
PHO9E.(7 7O._ �O
NO OF E PLOYEES
' G S
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
a;16
/-- Section 1 Business, Plan and, Inventory Program.`
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY _ ❑ COMPLAINT ❑ RE- INSPECTION
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C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
9/ ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
,PI ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
7 ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
/16 ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fir Prevention / 1s' In / Shift of Site /Station # usin Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05