HomeMy WebLinkAbout2611 H STREET_HMBP 3.1.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST) 900 Truxtun Ave., Suite 210
B rAR � Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
Zlol l S. "i�'' S-�gee
PHONE NO.
82�- Sud
NO OF EMPLOYEES
FACILITY CONTACT _ ` p
cut �(� 'a6�Z
BUSINESS ID NUMBER
15 -021 -
Sectt�n 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
Ef ❑ 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
Ef ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN-
❑ YES NO 8 y
0
QUESTIO S RE ARDING HIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
10 5A
Inspector (Ple se Pri ) Fire Prevention / 1" In / Shift of Site /Station # Btfsiness Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05