HomeMy WebLinkAbout8605 CAMINO MEDIA_ADEPT DENTAL HMBP 6.13.11UNIFIED PROGRAM INSPECTION CHECKLIST
Prevention Services
e >? R s F, e o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ° "R'x Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME INSPECTIO DAT INSPECTION TIME
E BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS PHONE NO. NO OF EMPLOYEES
c.)d Z y- f'WY Z_ e
FACILITY CONTAW, BUSINESS ID NUMBER
a
15 -021-
Gb
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
Il APPROPRIATE PERMIT ON HAND
E BUSIneSS PLAN CONTACT INFORMATION ACCURATE
I VISIBLE ADDRESS
CORRECT OCCUPANCY
C VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
F
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
J[Y VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Lcl EMERGENCY PROCEDURES ADEQUATE
7 CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
net -euia
ANY HAZARDOUS WASTE ON SITE? YES Q NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 {
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Pnnt)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05