HomeMy WebLinkAbout3103 COLUMBUS_HMBP 3.9.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Services
nPrevention
900 Truxtun Ave., Suite 210
PHONE NO.
39� 2Y-o
Bakersfield, CA 93301
Tel.: (661) 326 -3979
1 IN— 'T2 (c Lam_
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
39� 2Y-o
NO OF EMPLOYEES
-Q_
FACILITY CONTACT
BUSINESS ID NUMBER
'317
1 IN— 'T2 (c Lam_
15 -021- $
91
.Section 1: Business Plan and Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
UT
❑
APPROPRIATE PERMIT ON HAND
LY
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
(/✓ �,y �� J
❑
CORRECT OCCUPANCY
kC -2 V f S 1 5 C c/✓
—00
❑
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
Id
❑
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
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
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 # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05