HomeMy WebLinkAbout8651 RANCHERA ROAD_NICKEL FAMILY HMBP 6.6.12UNIFIED PROGRAM INSPECTION CHECKLIST:
SECTION 1: Business Plan and Inventory Progra111a a.
FACILITY NAME
W ,
Prevention Services
R S F t e , n 900 Truxtun Ave., Suite 210
FINEJARFN Bakersfield, CA 93301
F Tel.: (661) 326 -3979
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Fax: (661) 872 -2171
FACILITY NAME
W ,
INSPECTION DATE
K/ ` I
I SPECTION TIME7j2
ADDRESS
1A
PHONE NO.
r
NO OF E PLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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15- 021 - O 31 5
Section 1: Business Plan and Inventory Program
1) ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v Q C= Compliance OPERATION
V= Violation
COMMENTS
10 APPROPRIATE PERMIT ON HAND
it Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
10 VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
S PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
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: In.JWO& )IL L.Ji, Yw, -xjj,
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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