HomeMy WebLinkAbout2301 P Street_HMBP BRANDCO 11.8.09Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST J�AR R s F t 900Truxtun Ave., Suite 210
— -- - - -- RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program I rM r T el.: (661) 326 -3979
1 440" Fax: (661) 872 -2171
FACILITY NAME ®
INSPECTION DATE
INSPECTION TIME
Q t of ta
// i o
`0 � o
ADDRESS
PHONE NO.
NO OF EMPLOYEES
a 3 0 /
3 -600/
FACILITY CONTACT /
BUSINESS ID NUMBER
15- 021- 00 /90(�
lr� -9�1f
❑
Section11.:_. 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
e G A7CZc —S
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
C O
v
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑ ❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
IV
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 05/N 0
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
-C
Inspector Please Print) Fire Pre ntion / 1",OkShift of Site /Station #
B itiess S e / Responsibl Party (Please Print)
M;1 IWJ
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05