HomeMy WebLinkAbout1421 34TH StreetUNIFIED PROGRAM INSPECTION CHECKLIST fARTM F I P 0`rru ion's e;'1 Sus
B S e , , „ 900 Truxtun'Ave:'; Suite 210
aE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program a Tel.: (661)x26 -3979
Fax: (661)'872 -2171
FACILITY NAME -
INSPECTION DATE -
INSPECTION TIME
EAP- S�N't vmo Tl jA iN i I N4 1►v c _
O Z-7 11 o
14 3 5
ADDRESS
I 21 'l7 J1 S —/,e
PHONE NO.
b6 /- 3 ZS-
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
�AYl ,et�TJ ZsVrk
15 -021-
�s % a: ; T-
e n Section 1 Bus ness Plan arid�lnventory Program u
t% ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
�+
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
-EA
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
tg�
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
YJ`
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
1A
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? El YES 'NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Sow /'% . IBNnZn0sible.Party Inspector (Please Print) Fire Prev enti / 1�' In / Shift of Site /Station # (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05