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HomeMy WebLinkAbout1600 D STREET (2)Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST fDA 5.� I. 900 Truxtun Ave., Suite 210 nt IRE Bakersfield, CA 93301 Inv 1: Business Plan and ntory Program RTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 141e3 �' -5--13- ./ ADDRESS PHONE NO. NO OF EMPLOYEES lb Dg 6 3Z _15_01i0o S/ FACILITY CONTACT BUSINESS ID NUMBER a rand o-.f z _ 15 -021- Section 1: ,..Business Plan;and Inventory Program, 0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION. V= Violation COMMENTS © ❑ APPROPRIATE PERMIT ON HAND LZ , ❑ Business PLAN CONTACT INFORMATION ACCURATE 0 ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY Ia ❑ VERIFICATION OF INVENTORY MATERIALS 0 ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION IY' ❑ PROPER SEGREGATION OF MATERIAL 0 ❑ VERIFICATION OF MSDS AVAILABILITY 0 ❑ VERIFICATION OF HAZ MAT TRAINING .0 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 0 ❑ EMERGENCY PROCEDURES ADEQUATE ® ❑ CONTAINERS PROPERLY LABELED I� ❑ HOUSEKEEPING 2f ❑ FIRE PROTECTION J9 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES R NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US. AT (661) 326 -3979 C P'tA'nda• // I41-0daro1 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busin ' e / Re ponsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Cgpy FD 2155 (Rev. 09/05