HomeMy WebLinkAbout2644 mt vernon hmbp 6.4.20Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B E 7SF , D 900 Truxtun Ave., suite 210
F Bakersfield, CA 93301
SECTION 1: Business Plan and Invento Pro ram A r Tel.: (661) 326 -3979
4%p0l� Fax: (661) 872-2171
FACILITY NAME '
INSPECTION DATE
I" �/ - zo
INSPECTION TIME
d � �___r
ADDRESS
PHONE NO.
6� &Q 1 �i- .�9 y?
NO OF EMP�PYEES
FACILITY CONTACT
�l �lr - 7J- -_ &,f?d
BUSINESS ID NUMBER
15-021 -
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
r C= Compliance OPERATION
V= Violation
COMMENTS
I ❑
APPROPRIATE PERMIT ON HAND
ID ❑
Business PLAN CONTACT INFORMATION ACCURATE
l ❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
LId' ❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
It/ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
2( ❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
�,� mor -ou i o
ANY HAZARDOUS WASTE ON SITE? Le YES ❑ NO
EXPLAIN: !` (L(4'j6(7,)
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
M . ljyl (-77) �r C 5-74 -Y
Inspector (Please Print) Fire Prevention / 1St In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy
Business Site / esponsible Party (Please Print)
Pink — Business Copy
FD 2155 (Rev. 09/05