HomeMy WebLinkAbout3215 MALL VIEW ROAD_HMBP 5.6.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
e E R S F t o 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
D ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PH NE NOI
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
Soy- lql/ Ow cr 0
15 -021-
Section 1;: Business Plan and Inventory Program
%, ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
/
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
M," ❑
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
/❑
01 ❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Q,-10
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
Imo❑
HOUSEKEEPING
^
,
❑
FIRE PROTECTION
p? y`
C
❑
SITE DIAGRAM ADEQUATE & ON HAND
•
G G
/ I
ANY HAZARDOUS WASTE ON SITE? IXYES ❑ NO
EXPLAIN: ( 45;�k 00./_
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
.9, / A/6 /N7 ?_ /3
In pector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05