HomeMy WebLinkAbout240 CHESTER AVENUE_HMBP KRAGEN 4.29.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
F ,
900 Truxtun Ave., Suite 210.
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E
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: 872
NO OF EMPLOYEES
(661) -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
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ADDRESS
PHO ENO.
NO OF EMPLOYEES
'\
U
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
r
BUSINESS ID NUMBER*
15-021 -
Section 1: Business Plam and Inventory Program
'r 1=
❑ ROUTINE ❑ COMBINED .❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V ( C= Compliance` OPERATION
V= Violation l
COMMENTS
12/0 APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
IV ❑ VISIBLE ADDRESS
l� ❑ 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
Ef ❑ HOUSEKEEPING
❑ ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
Will rh &6 Dk 4
ANY HAZARDOUS WASTE ON SITE? ❑ YES vt4g
EXPLAIN:
QUESTIO S REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326.3979
'I /7
Inspector (P ease Print) Fire en on 1" In / Shift of Site /Station # usi de /Responsible Pa (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05