HomeMy WebLinkAbout2033 21st StreetPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B _ E R SF , E 900Truxtun Ave., suite 210
- T - -� F/RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program �RrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME _,;
10,46 V G
INSPECTION DATE
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INSPECTION TIME
ADDRESS +
PHONE NO.
NO OF EMPLOYEES
33 `�
-1130
34
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
❑
VISIBLE ADDRESS
SectionR1. SB "usiness Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
34
❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
J:
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
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❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
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❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
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QUESTIONS REGARDI G THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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I pector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White – Prevention Services Yellow - Station Copy Pink – Business Copy FD 2155 (Rev. 09/05