HomeMy WebLinkAbout3201 PANAMA LANE_HMBP 5.5.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME o
Services
A MTiPrevention
118.
9001Yuxtun Ave.,, Suite 210
❑ BUSIP1eSS PLAN CONTACT INFORMATION ACCURATE
Bakersfield, CA 93301
N
Tel.: (661) 326 -3979
872
O OF EMPLOYEES
Fax: (661) -2171
FACILITY NAME o
INSPECTION DATE
INSPECTION TIME
TIME
❑ BUSIP1eSS PLAN CONTACT INFORMATION ACCURATE
ADDRES
PHONE N0.
O OF EMPLOYEES
�3
141414.a-
/O
FACILITY CON CT
'j.Ci% /�
BUSINESS ID NUMBER
15- 021- 4!:2P3G0el
I
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑. COMPLAINT ❑ RE- INSPECTION
i
C V (c= Compliance` OPERATION
V= Violation l
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIP1eSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
— /❑
Jd' CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
�❑
.a / ❑ VERIFICATION OF MSDS AVAILABILITY
pe"❑ 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 .E{1 NO
EXPLAIN:
QUESTIONS R ARDIN T IN ECTION? PLEASE CALL US AT (661) 326 -3979
Inspec o Please Pr' 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