HomeMy WebLinkAbout2201 PANAMA LANE_hmbp 5.5.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
"ARTM Prevention Services
, 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY AME
INSPECTION DATE
INSPECTION TIME
D
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO. `
NO OF EMPL YEES
&,+IWA
FACILITY CONTACT
USINESS ID NUMBER
aVO
r r
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Section 1 Busines Plan and Inventory Program y
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY 13 3 MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance) OPERATION
V=Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
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
A
-//-;n [�
❑ 2r.
SITE DIAGRAM ADEQUATE & ON HAND
)06 OTI
ANY HAZARDOUS WASTE ON SITE? ,ICJ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
pector (PI a Print) Fire Prevention / P` In / Shift of Site /Station # Business i e espo se Prin
I
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105