HomeMy WebLinkAbout2933 16 STREET_HMBP 5.13.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B 0 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
0
❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES
9 16
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT
/
USINESS ID NUMBER
/
k
15 -021-
o A ULm be -s 30 3 -
❑
'Section,1: Business Plan and Inventory Program
Z ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
0
❑
APPROPRIATE PERMIT ON HAND
el
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
21
❑
VISIBLE ADDRESS
nt
❑
CORRECT OCCUPANCY
0
❑
VERIFICATION OF INVENTORY MATERIALS
Z
❑
VERIFICATION OF QUANTITIES
Z
❑
VERIFICATION OF LOCATION
Z
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
Z
❑
VERIFICATION OF HAZ MAT TRAINING
0
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
0
❑
EMERGENCY PROCEDURES ADEQUATE
R
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
.0
❑
FIRE PROTECTION
4
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES �Z NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05