HomeMy WebLinkAbout3301 JEWETT AVENUE_HMBP 5.27.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
11041/ 1.4421,11-2 G a
Prevention Services
D
900 - Truxtun Ave., Suite 210
JLARrN _,
Bakersfield, CA 93301
r
Tel.: (661) 326 -3979
#4,' L
Fax: (661) 872 -2171
FACILITY NAME
11041/ 1.4421,11-2 G a
INSPECTION DATE
5_-�2 '- C
INSPECTION TIME
10,ow-c-
ADDRESS
3 ���v
PHONE NO. —
V5 =3�
O OF EMPLOYEES
5
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - c003`ir
#4,' L
Sectlon1 Business_Plan,arad_.Ilwentory Program
go'ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
Id ❑ APPROPRIATE PERMIT ON HAND
[' ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
_/
El ❑ CORRECT OCCUPANCY
Er'*"[:] VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
2" ❑ VERIFICATION OF LOCATION
Ef' ❑ PROPER SEGREGATION OF MATERIAL
E r ❑ VERIFICATION OF MSDS AVAILABILITY
2-_0 VERIFICATION OF HAZ MAT TRAINING
0 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
El HOUSEKEEPING
J
o ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? PXES ❑ NO
6f�
EXPLAIN: �57_'r es t m i6
QUES,3j040EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
Bu •ne ite / Responsible arty (Please Print)
Ker-6019
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05