HomeMy WebLinkAbout901 19th StreetUNIFIED PROGRAM .INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Services
INSPECTION TIME
900 Truxtun Ave.,: Suite 2.10
"ARTMPrevention
Bakersfield,. CA 93301
ADDRESS � � / � � �
Tel.: (66 1) 326 -3979
Fax: 872
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(661) -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS � � / � � �
PHONE NO.
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❑ VERIFICATION OF INVENTORY MATERIALS
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FACILITY CONTACT
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BUSINESS ID NUMBER
15 -021-
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Sectlon,1 Business Planand Inventory Program „r
❑ ROUTINE ❑ .COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V l ! C= Compliance OPERATION
V= Violation
COMMENT S
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
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❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
'J( ❑ VERIFICATION OF MSDS AVAILABILITY
lit ❑ 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 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 #
FYI
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
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