HomeMy WebLinkAbout8101 ASHE RD HMBP 7.28.14C-VS QAA A 0,, Ufa CW*
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST p 900Truxtun Ave., Suite 210
Fees Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ""`
T"'` r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME_ ^ ( INSPECTION DATE INSPECTION TIME
a I
q-
ADDRESS t ., HONE NO. 0 OF EMPLOYEES
62 7 00
FACILITY CONTACT,_,. BUSINESS ID NUMBER
w ' ` JI i l / o .` /• t:q Wit' t r'/`- a< t6` /` .
t l
seen na` I 00swess Ptah OM4 Inventory Program .
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C=Compliance` OPERATION
V= Violation
COMMENTS
q- APPROPRIATE PERMIT ON HAND
a.. Business PLAN CONTACT INFORMATION ACCURATE I /oV
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
j0- VERIFICATION OF LOCATION
D PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
Q VERIFICATION OF HAZ MAT TRAINING
Q. VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
n
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
1
ANY HAZARDOUS WASTE ON SITE? EJ-YES NO
I
EXPLAIN: ..
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326.3979
Inspector (P!La a Print) Fire Prevention/ 1 "InyrS`Fift of Site /Station # " Busin ss SKI Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105