HomeMy WebLinkAbout3050 BRUNDAGE LANE_HMBP 1.29.10UNIFIED PROGRAM INSPECTION .CHECKLIST
SECTION 1: Business Plan" and Inventory Program
1
Prevention Services
4F 0 R S F I , _„ 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
ARTM Tel.: (661) 326 -3979
Fax: (66'1) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V= Violation
ADDRESS
PHONEINO.
NO OF EMPLOYEES
3 D LA N OA 927E !�! ig .t E"2s q sr.Jfl
-7 2
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 -p�j� j-�g
Sectloln 1 BusmeSS Plan and Inventory" Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
COMMENTS
V= Violation
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
Y' ❑
VISIBLE ADDRESS
UK ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
LrJ ❑
PROPER SEGREGATION OF MATERIAL
❑ e
VERIFICATION OF MSDS AVAILABILITY
D
❑ R
VERIFICATION OF HAZ MAT TRAINING
tilt oN kit- �.-1C' 1 �Fi SET t��
�❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ Ef'
EMERGENCY PROCEDURES ADEQUATE
Wr ❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
E�' ❑
FIRE PROTECTION
A� �o E nCe K s
❑
SITE DIAGRAM ADEQUATE & ON HAND
/ICE' ,Dc 6 � STN ExtrS
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
��
El YES L�l NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector lease Print ire I hilt of Site /Station #
Business i espons le Party (Please Print)
'T>A,N 4E r- L OP�F—Z. ?�
White — Prevention Services Yellow - Station Copy Pink — Business Copy
FD 2155 (Rev. 09105