HomeMy WebLinkAbout2717 K Street_HMBP 11.24.09UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
rER t o 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILI AME
v 166
INSPECTION
INSPEC T IO� N DA� TE
A ` o i
INSPECTION TIME
/o �
ADDRESS [
7
PHONE NO.
O OF EM7YEES
FACILITY CONTACT
C ? -�°
N -o P-1
BUSINESS ID NUMBER
15- 021 -Oar -'13 3
Section 1': Business Plan and.lnventory °Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
l C= Compliance OPERATION
V= Violation
COMMENTS
13/11
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
,/I ee- q/
/ {
J
❑
CORRECT OCCUPANCY
G.t7/t dN
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
G �(,I
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
IV
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES VNO
QUESTIONS REGARD IN THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (PI -se Print) Fi Preven n ! f In /Shift of Site /Station # Bu ' s Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105