HomeMy WebLinkAbout1401 21st StreetPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTI B e R s F , 0 900 Truxtun Ave., suite 210
- - -- -- - — __— _ - -�! FFIN Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program i ARTM r Tel.: (661) 326 -3979
(1 4440" Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
5 lo -tU
INSPECTION TIME
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❑
ADDRESS
HONE N �� V
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NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - alp $7/
Section 1: -Business Planand Inventory,Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
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l C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
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❑
Business PLAN CONTACT INFORMATION ACCURATE
✓/
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
1
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
/PI
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 151 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