HomeMy WebLinkAbout2510 L Street_hmbp 11.18.09UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan.and Inventory Program
Prevention Services
o 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
ARrM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
2Sto
PHONE NO.
3;z45- �316
NO OF EMPLOYEES
/40
FACILITY CONTACT ``
BUSINESS ID NUMBER
15 -021- 600 ,? y
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❑ VERIFICATION OF QUANTITIES
u
Section 1: 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
❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
❑ ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
�V ❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
IP
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
1
❑ 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?
EXPLAIN:
❑ YES ONO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
T, ,
-C
Inspector (Please Print) I Preventio / 1s' In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05