HomeMy WebLinkAbout1331 33 STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A e R S F, 0 900 Truxtun Ave., Suite 210
FimE Bakersfield, CA 93301
v
AF Rim r Tel.:. (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME j �
��7
INSSPECCTIONDATE
/0
INSPECTION TIME
/� Z
C� 6
eorde_
ADDRESS 51 L f�
lll��i /�i'
HONE NO.
OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER
15- 021 -00Z ;7
Section A. Business Plan ano.lpventory, Program:
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
IS ❑" APPROPRIATE PERMIT ON HAND
3""/ E] Business PLAN CONTACT INFORMATION ACCURATE
Er ❑ VISIBLE ADDRESS
2---El CORRECT OCCUPANCY
Ed_❑ VERIFICATION OF INVENTORY MATERIALS
Er__❑ VERIFICATION OF QUANTITIES
B"_❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
0 -10 VERIFICATION OF MSDS AVAILABILITY
E3'0 VERIFICATION OF HAZ MAT TRAINING
B---C7 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
E3'❑ CONTAINERS PROPERLY LABELED
Ems❑ HOUSEKEEPING
90C/ FIRE.PROTECTION
//�J��� /'�r/-Z�/�; i��,
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SI ? 0r 1t 5 ❑ NO
EXPLAIN: ` xo! :O" /
QUES ON�S� E /CARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05