HomeMy WebLinkAbout241 UNION AvenueUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
C5�L G�
Prevention Services
B S F I E
900 Truxtun Ave., Suite 210
FIRE
JD
Bakersfield, CA 93301
ARTME
Tel.: (661) 326 -3979
PHONE NO.
-n
Fax: (661) 872 -2171
FACILITY NAME
C5�L G�
/ t
V N
L .
INSPECTION DATE
5 —zo10
INSPECTION TIME
ADDRESS
2q 1 5, u
❑ VISIBLE ADDRESS
PHONE NO.
-n
NO OF EMPLOYEES
z__ Z)
FACILITY CONTACTS I
1
�C�
❑ VERIFICATION OF QUANTITIES
BUSINESS ID NUMBER
15 -021-
❑ VERIFICATION OF LOCATION
L
❑ PROPER SEGREGATION OF MATERIAL
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a vent� o..r _....P.. e w a. 1
m ecl� ess an an ro r
s
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
9 ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
1% ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ ❑ FIRE PROTECTION
104- ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES V_ NO
QUESTIONS REGARDING THIS INSPECTIO PLEA C LL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prev M%5 1" In / Shift of Site /Station #
Party (Please
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05