HomeMy WebLinkAbout2101 H STREETUNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program
H__ E R S F I D
DMF /RE
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
7
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PH6NE NO.
NO OF EMPLOYEES
O/
- /
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FACILITPCNTACT
BUSINESS ID NUMBER
15- 021 - I'!�'3X
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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
�❑ APPROPRIATE PERMIT ON HAND
❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
/❑
2 ❑ CORRECT OCCUPANCY
GY ❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
IRI ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
QUESTIONS REGARDI 7S INSPECTION? PLEASE CALL US AT (661) 326 -3979
I e or (Ple rint) 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