HomeMy WebLinkAbout3214 MING AVENUE_HMBP 2.11.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST >3 e R s !1. 900TruxtunAve., Suite 210
- -- - _ -- -- - -_ Unim-N Bakersfield, CA 93301
0VAR1rN4rF Tel.: (661) 326 -3979
SECTION 1: Business Plan and Inventory Program y Fax: (661) 872 -2171
FACILITY NAME
INSP TI E
INSPECTION TIME
131 s
❑ Business PLAN CONTACT INFORMATION ACCURATE
, y��'
ADDRESS
HONE O.
NO OF EMPLOYEES
3A ( � NG .40t
VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
VERIFICATION OF LOCATION
15 -021-
Section 1: BUSine! S Plan arid;lnventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance) OPERATION
V= Violation
COMMENTS
a// APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
EYI"9/ 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 2/N 0
EXPLAIN:
QU TONS REG DING IS I PECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention I 1s` In / Shift of Site /Station # Bt,
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M6 O. CD{ Et Zg n�j N S C
White — Prevention Services Yellow - Station Copy Pink — Business Copy , FD 2155 (Rev. 09/05