HomeMy WebLinkAbout2724 MING AVENUE_HMBP 2.4.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
R__ E R_ S F I ,. D
900 'rruxtun Ave., Suite 210
.
F/RE
Bakersfield, CA 93301
ARTM t
Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS ,�_q
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
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
Pl� VISIBLE ADDRESS
CORRECT OCCUPANCY
zr ❑ 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
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
rcur -oUIU
ANY HAZARDOUS WASTE ONE SITE? YES ❑ NO /
EXPLAIN: CS _ � P � in to ((L _ �_( I i-/ i -k
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QUESTIONS REGARDING
.jTHIS (INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prev ntion / 1" In /,Shift of Site /Station # 111usinbss Site / Res It( ase Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05