HomeMy WebLinkAbout1/8 MILE CBK 24UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
4!2_%'.. 900 Truxtun Ave., Suite 210
f /RE Bakersfield, CA 93301
A erM r Tel.:. (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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❑
❑
ADDRESS
PHONE NO.
O OF EMPLOYEES
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Business PLAN CONTACT INFORMATION ACCURATE
D
FACILITY CONTACT
BUSINESS ID NUMBER
9'(1 R-O S I G9
15 -021-
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
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APPROPRIATE PERMIT ON HAND
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❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
❑
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
❑
❑
VERIFICATION OF MSDS AVAILABILITY
❑
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VERIFICATION OF HAZ MAT TRAINING
❑
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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
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
EXPLAIN: OJO L0,� (Aj2 j n a 0 pejLiB
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station -Copy Pink - Business Copy FD 2155 (Rev. 09/05