HomeMy WebLinkAbout2130 21ST STREET_HMBP 4.23.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME I I
Prevention Services
R, A E R S F I . D
900 Truxtun Ave., Suite 210
jFieE
Bakersfield, CA 93301
ARTM r
Tel.: (661) 326 -3979
13
Fax: (661) 872 -2171
FACILITY NAME I I
INSPECTION DATE
INSPECTION TIME
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❑ VISIBLE ADDRESS
13
ADDRESS y�'
PHONE NO. 7
O OF EMPLOYEES
FACILITY CONTACT
- -
BUSINESS ID NUMBER _
15 -021-
section 1. Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑� MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
Q ❑ VERIFICATION OF MSDS AVAILABILITY
Q/ ❑ 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 1KN0
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
M0.4/- )L LL) -1 -16
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. 09/05