HomeMy WebLinkAbout2691 MT. VERNON AVENUE_HMBP 3.7.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F 1 0 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
ARM t Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
eztS
INSPECTION DATE
'-3, -7 -
INSPECTION TIME
15 / i �✓
ADDRESS /� /, �—/J , �� J
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Hff NO
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021 -,3
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
If V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
Y10 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 ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
p -) 4-
Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station # Busin
White — Prevention Services Yellow - Station Copy Pink — Business Copy
FD 2155 (Rev. 09/05