HomeMy WebLinkAbout2900 ROYAL SCOTTS WAY_HIGHLAND HIGH HMBP 5.19.20v,N(� 0 � �lot Nut,
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
H 900 Truxtun Ave., Suite 210
;8 D Bakersfeld, CA 93301 E ATM IFR
T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
A� ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
COMMENTS
INSPECTI N DA E
INSPECTION TIME
Le" ❑ Business PLAN CONTACT INFORMATION ACCURATE
V ❑ VISIBLE ADDRESS
lGd' ❑ CORRECT OCCUPANCY
ADDRESS
- �G'L0
L
❑ VERIFICATION OF QUANTITIES
w ❑ VERIFICATION OF LOCATION
PHO NO.
NO OF EMPLOYEES
.7420 4=0
FACILITY CONTACT
C ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
BUSINESS ID NUMBER
VO CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
Ve/0"_❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
Section 1: Business Plan and Inventory Program
A� ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
COMMENTS
C v r C= Compliance OPERATION
l V= Violation
❑ APPROPRIATE PERMIT ON HAND
Le" ❑ Business PLAN CONTACT INFORMATION ACCURATE
V ❑ VISIBLE ADDRESS
lGd' ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
w ❑ VERIFICATION OF LOCATION
gk ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
C ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
VO CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
Ve/0"_❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? 1:1 YES X,,No
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1St In l Shift of Site /Station # Business Si e / espon e Party ase Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05