HomeMy WebLinkAbout2933 16TH Street_HMBP 5.7.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME \\ /
INSPECTION DATE
INSPECTION TIME
J I (
7
/61/1-
ADDRESS 2? 3-3 &
PHONE NO.Gn
O OF EMPLOYEES
/-t
7
FACILITY CONTACT
USI SS ID NUMBER
15 -021-
f tSecto.n ,� = Business Plan and.lnyentory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
pr
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
7
❑
VISIBLE ADDRESS
(a
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
E Y
❑
VERIFICATION OF QUANTITIES
J
/
Jz(
❑
VERIFICATION OF LOCATION
CJ
❑
PROPER SEGREGATION OF MATERIAL
EJJ
❑
VERIFICATION OF MSDS AVAILABILITY
L�/'
11
VERIFICATION OF HAZ MAT TRAINING
1
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
'LJ
❑
EMERGENCY PROCEDURES ADEQUATE
Ed
❑
CONTAINERS PROPERLY LABELED
Ef
❑
HOUSEKEEPING
Ea
❑
FIRE PROTECTION
e
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES 10
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
1 IL
Inspector Print) In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05