HomeMy WebLinkAbout2009 Harry Yarnell Court_HMBP 4.16.10�PT.
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
H E jF1 o 900 Tru xtun Ave., Suite 210
F Bakersfield, CA 93301
Ar Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
v
C= Compliance OPERATION
V= Violation
COMMENTS
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
❑
VISIBLE ADDRESS
PHO NO.
NO OF EMPLOYEES
0o
T
I.:-/- z
z -6oiZ
❑
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - Z -7
Section 1: B'u'siness Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
T
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
I�
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
I�
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
1
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
I�
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES y NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105