HomeMy WebLinkAbout2505 MT. VERNON AVENUE_HMBP 3.9.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
R aPrevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
� S81K
INSPECTION DATE
3- q-2��t
INSPECTION TIME
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ADDRESS
�2 5 a S nv-r vCp, ruo
PHONE NO.
Z
NO OF EMPLOYEES
26--
FACILITY CONTACT
_ILr4 ii lyre F.me 33L 1155-1
BUSINESS ID NUMBER
15 -021- 2 I 0 t
., Section 1 Business Plan; and Inventory Program r
ROUTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI-AGENCY El 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
❑
PROPER SEGREGATION OF MATERIAL
CY
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
W
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
,I
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
❑
HOUSEKEEPING
❑
FIRE PROTECTION
J3
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / P' In / Shift of Site /Station #
White - prevention Services Yellow - Station Copy
Business Site / Responsible Party (Please Print)
Pink - Business Copy
FD 2155 (Rev. 09/05