HomeMy WebLinkAbout6710 PACIFIC ISLAND DRIVE_hmbp 5.23.12UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business P an and Inventory Program
FACILITY NAME / /-7 / , ( /
Prevention Services
B R S F I `E . 900 Truxtun Ave., Suite 210
SIREJDA
Bakersfield, CA 93301
R T f Tel.: (661) 326 -3979
R( CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME / /-7 / , ( / INSPECTION DATE INSPEC ION TIME
ADDRESS
6 0-- R & _T j / 040. NO. O OF EMP OYEES
FACILITY CONTACT
Vm r 0 1'
BUSINESS ID NUMBER
15- 021- OCP/`7 y-
V lc t i"t l l
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V Q C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
led BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
R( CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
C VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
Er VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
7
EMERGENCY PROCEDURES ADEQUATE
Cy CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
CV SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES K NO
0' STIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
l k"al 1410?_Z, /.3A
Inspector (Please Print) 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