HomeMy WebLinkAbout2682 mt vernon hmbp 6.4.20Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B E R S F , 0 900Truxtun Ave., suite 210
r�Re Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program '"�r"'�0'r Tel.: (661) 326 -3979
Fes: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
4,!�F40 ('41.0, L'q k4 &�rj r L LI " Z v o I �\
ADDRESS PHONE NO. O OF EMPLOYEES
.00 6 (.OQ (_ --- , Lq�e'�
FACILITY CONTACT BUSINESS ID NUMBER
14 P�, �ZV tAOL �1 15-021 -
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
COMMENTS
V= Violation
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
1z ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ 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? ES ❑ NO
EXPLAIN:
14�Q�1�� J v�i�t%RS!��
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Preven ion / 1St In / Shift of Site /Station # Busi 4essit=e/ Resp sib P (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05