HomeMy WebLinkAbout3109 CHESTER LANE_HMBP 2.24.10UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
A A � R _s F ,- _0 900 Truxtun Ave., Suite 210
— — -- = - -- -- - FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
C= Compliance OPERATION
V= Violation
COMMENTS
INSPEC ION D TE
APPROPRIATE PERMIT ON HAND
INSPECTION TIME
Rr ❑
Gm_4V_' —
�°.�o
❑ Ir
�o
0!i ❑
CORRECT OCCUPANCY
ADDRESS
Imo' ❑
VERIFICATION OF INVENTORY MATERIALS
PHONE N6.
/
F ❑
NO OF EM LOYEES
Rr ❑
VERIFICATION OF LOCATION
&0" 0
PROPER SEGREGATION OF MATERIAL
El V VERIFICATION OF MSDS AVAILABILITY
FACILITY CONTACT
L?' ❑
VERIFICATION OF HAZ MAT TRAINING
BUSINESS ID NUMBER
15 -021- OC)
W�" El
U
A'6 Ea .J
Flo" / ❑
EMERGENCY PROCEDURES ADEQUATE
LJ ❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
14ae_Et /N GJAC -L.s "a S d"66_ E
❑
FIRE PROTECTION
❑ V
SITE DIAGRAM ADEQUATE & ON HAND
Sectronp1, Business Plan and Inventory Programs
M ROUTINE
❑� COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑
RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
/
❑ 9
APPROPRIATE PERMIT ON HAND
��GD ���M )
Rr ❑
Business PLAN CONTACT INFORMATION ACCURATE
❑ Ir
VISIBLE ADDRESS
0!i ❑
CORRECT OCCUPANCY
Imo' ❑
VERIFICATION OF INVENTORY MATERIALS
,2G ` gcE'TotitE'
/
F ❑
VERIFICATION OF QUANTITIES
Rr ❑
VERIFICATION OF LOCATION
&0" 0
PROPER SEGREGATION OF MATERIAL
El V VERIFICATION OF MSDS AVAILABILITY
L?' ❑
VERIFICATION OF HAZ MAT TRAINING
W�" El
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Flo" / ❑
EMERGENCY PROCEDURES ADEQUATE
LJ ❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
14ae_Et /N GJAC -L.s "a S d"66_ E
❑
FIRE PROTECTION
❑ V
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES YIN 0
QUESTIONS REGARDING THIS I ECTION? 4PEASE C US AT (661) 326 -3979
CI.M n Bt sine / onsi le Pa Please Print Inspector (Please Print) re Prev / 1" I / t � )
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05