HomeMy WebLinkAbout2661 oswell st _hmbp_3.10.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Cqv---'✓tt "/
INSPEC➢ON DATE
Prevention Services
Plan and Inventory Program
900 Tn3xtun Ave.. Suite 210
e "
itwe
Bakersfield, CA 93301
•err
Tel.: (661) 326-3979
PHONE NO,
Fax: (661) 872-2171
FACILITY NAME
V
INSPEC➢ON DATE
INSPECTION TIME
Plan and Inventory Program
❑
APPROPRIATE PERMIT ON HAND
❑
ADDRESS
❑
PHONE NO,
❑ MULTI AGENCY ❑ COMPLAINT
NO OF EMPLOYEES
RE -INSPECTION
VISIBLEADDRESS
ih
❑
FACILITY CONTACT
SING S ID NUMBER
75-021-
9NZc 1- ;79Ac7i3^f
VERIFICATION OF INVENTORY MATERIALS
C
V
( D-CoiopUo0e) OPERATION
Viiv ioo
Section 1: Business
Plan and Inventory Program
❑
APPROPRIATE PERMIT ON HAND
❑
ROUTINE
❑
COMBINED ❑ JOINTAGENCY
❑ MULTI AGENCY ❑ COMPLAINT
❑
RE -INSPECTION
C
V
( D-CoiopUo0e) OPERATION
Viiv ioo
COMMENTS
is
❑
APPROPRIATE PERMIT ON HAND
❑
BUSInei PLAN CONTACT INFORMATION ACCURATE
$1
❑
VISIBLEADDRESS
ih
❑
CORRECT OCCUPANCY
N
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
'P.
❑
PROPER SEGREGATION OF MATERIAL
rl
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
D71'
V
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
Pb
❑
HOUSEKEEPING
Pis
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE 80N HAND
ANY HAZARDOUS WASTE ON SITE? RYES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL Us AT (691) 326-3979
G447*611a- Mogel Imenez
Inspector (Please Print) Fire Prevention l is In l Ship of S9e,StalionM Business Site, Responsible Perry (Please Print)
While- Prevention Service. Yellow -Ran-Copy Pink -Business Copy FD2155. (Rev. OW05