HomeMy WebLinkAbout2530 CHESTER Avenue_HMBP 11.24.09UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A E R S F 1 0 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
ARfM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
— ' i S i.//A ems
INSPECT N DAT
//
INSPECTION TIME
ADDRESS
PWNE N
360 S
NO OF EMPLOYEES
�'
FACILITY CONTACT
91 ��
BUSINESS ID NUMBER
15- 021 -06 0 L17.7
01 a�
❑
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
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
Ef ❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
G
lJ
❑
VERIFICATION OF MSDS AVAILABILITY
0/
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
VEI
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
KHh -bU1:1
ANY HAZARDOUS WASTE ON SITE? ❑ YES ®NO
EXPLAIN:
QUESTIONS REGARDING T IS INSPECTION? PLEASE CALL US AT (661) 326 -3979
c /
Inspector (Ple F e Print) Fir I feventio/1" In / Shift of Site /Station # B lnes:
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05