HomeMy WebLinkAbout1415 18TH StreetUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
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- D
900 Z Yuxtun Ave., Suite 210
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Bakersfield, CA 93301
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Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION 9AT E
INSPECTION TIME
i0
00
ADDRESS
PHONE NO.
NO OF EMPLOYEES
2- 11 -(0/A60
FACILITY CONTACT
BUSINESS ID NUMBER
2 ❑ VERIFICATION OF LOCATION
15 -021-
Section 1: _Business Plan and'Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
—/
53 ❑ APPROPRIATE PERMIT ON HAND
El Business PLAN CONTACT INFORMATION ACCURATE
—�
L ❑ VISIBLE ADDRESS
03 f ❑ CORRECT OCCUPANCY
2' ❑ VERIFICATION OF INVENTORY MATERIALS
93'' ❑ VERIFICATION OF QUANTITIES
2 ❑ VERIFICATION OF LOCATION
V 1:1 PROPER SEGREGATION OF MATERIAL
,_/
lt_?,/ ❑ VERIFICATION OF MSDS AVAILABILITY
Ig/ ❑ VERIFICATION OF HAZ MAT TRAINING
ll� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
IH' ❑ EMERGENCY PROCEDURES ADEQUATE
IY ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
C� ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
enr -bUia
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Parry (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05