HomeMy WebLinkAbout820 20 STREETUNIFIED PROGRAM INSPECTION CHECKLIST''
SECTION 1: Business Plan and Inventory Program j
Prevention Services
B E R S F r o 900 Truxtun Ave., Suite 210
GRE Bakersfield, CA 93301
�RYN r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILI NAME
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INSPEC 10 DATE
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IN TIME
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ADDRESS 1�
HONE NO.
NO OF EMPLOYEES
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'32 -9 Y
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FACILITY CONTACT
BUSINESS ID NUMBER
�Vvi OSS
15 -021-
,Se flon 1: Business Plan and,Inventory Program," -
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance` OPERATION
V= Violation
COMMENTS
C&
❑
APPROPRIATE PERMIT ON HAND
IS
❑
Business PLAN CONTACT INFORMATION ACCURATE
0
❑
VISIBLE ADDRESS
25
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
2�-
❑
VERIFICATION OF LOCATION
%�-
❑
PROPER SEGREGATION OF MATERIAL
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❑
VERIFICATION OF MSDS AVAILABILITY
LI
❑
VERIFICATION OF HAZ MAT TRAINING
�I
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
❑
FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES �9 NO
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 #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05