HomeMy WebLinkAboutInspection 6-9-11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY AME !C ^� 1A CCL
Prevention Services
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900 Truxtun Ave., Suite 210
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Bakersfield, CA 93301
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Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY AME !C ^� 1A CCL
IN'nj E ION 'TE
INSPECTION E
ADDRESS
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PHONE NO.
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NO OF EMPLOYEES
FACILI1CONTACT ;�
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BUSINESS ID NUMBER /Q�
15- 021 - ;b 0
Section 1: "'Business Plan and Inventory- Program
,,;Eb ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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C= Compliance OPERATION
V= Violation
COMMENTS
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❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
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VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
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VERIFICATION OF QUANTITIES
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VERIFICATION OF LOCATION
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PROPER SEGREGATION OF MATERIAL
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VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
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❑
CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES 'ENO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector ( ease rint) Fire Prevention / 1s' In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
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KBF -6013
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05