HomeMy WebLinkAbout2116 W Street_HMBP 3.29.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
e E R SF , 0 9001Yuxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
D ARTM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME n
INSPECTION DATE
INSPECTION TIME
BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
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ADDRESS
I/ S'-r
PHdNE NO.
19,0 f 36 0 3
NO OF EMPLOYEES
FACILITY COr1TACT
USINESS ID NUMBER
Il /J�
15 -021- 0010;2-S
Section 1: Business 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
BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
EV 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? ❑ YES M NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �7�
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Inspector Please P nt) ire Prevention / 1" In / Shift of Site /Station # B ess Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy
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FD 2155 (Rev. 09/05