HomeMy WebLinkAbout2601 M Street_HMBP 11.18.09UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
e R 5 F t o 900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
q_M C lG Qq �� 5 % A/C,
INSPECTION DATE
8 A
INSPECTION TIME
C9 : a �s--
ADDRESS
H NE NO.
-318?
O OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER
15-021-00v/,T_3
❑
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
V !✓
VISIBLE ADDRESS
T
L❑
92Iam ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
❑
V RIFICATION OF LOCATION
re Cros>r'%_ a-.0—o 8 S %C
❑
PROPER SEGREGATION OF MATERIAL
VA
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
VERIFICATION OF HAZ MAT TRAINING
N
i�
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
92/11
E ERGENCY PROCEDURES ADEQUATE
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❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? tSYES ❑ NO
EXPLAIN: lX_OoLltd4a [1t 45 S en C -
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -39
Inspec r (Please Print) Fire evention / 1" in // `Shift of Site /Station #
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White — Prevention Services Yellow - Station Copy Pink — Bpsiness Copy FD 2155 (Rev. 09/05