HomeMy WebLinkAbout1405 COMMERCIAL WAY (4)�• Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST (=' D A F R s f , E . ,, 900 Truxtun Ave:, Suite 210
F/RE Bakersfield, CA 93301
Ji OM ' ARTM Tel.: (661) 326 -3979 r
SECTION 1: Business Plan and Inventory Program E. ► �'
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
LCA
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10-/ ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
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❑ VERIFICATION OF QUANTITIES
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1�3 ❑ PROPER SEGREGATION OF MATERIAL
ADDRESS
1
VERIFICATION OF HAZ MAT TRAINING
PHONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT
U�-/❑ FIRE PROTECTION
Vb SITE DIAGRAM ADEQUATE & ON HAND
B SINESS ID NUMBER
15 -021- OG^ -7
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Section 1': Business Plan and Inventory Program _
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
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C? ❑ APPROPRIATE PERMIT ON HAND
❑ BUSUIeSS PLAN CONTACT INFORMATION ACCURATE
a� ❑ VISIBLE ADDRESS
10-/ ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
n
C e.
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
1�3 ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
1
VERIFICATION OF HAZ MAT TRAINING
Cl'
tle ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
U111"❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
is
❑ HOUSEKEEPING
U�-/❑ FIRE PROTECTION
Vb SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES a-NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL Us AT (661) 326 -3979 ,, ; qq—
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # 'sin ss•Site7 Resjf6 a bW(Rle a Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05