HomeMy WebLinkAbout1705 columbus hmbp 3.13.20Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B E R $ F , 0 900 Truxtun Ave., Suite 210
FARE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program "Rr"' � Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
COMMENTS
NSPECTION DATE
INSPECTION TIME
(0 L� C)
ADDRESS 0
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HONE NO.
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NO OF E� OYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
Section 1:
Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
4 V= Violation
COMMENTS
WD APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
Zfoo" ❑ 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? 24E ❑ NO
EXPLAIN: 0 k
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
6� -10
Inspector (Please Print) Fire Prevention / 15t In / Shift of Site /Station # Business it / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05