HomeMy WebLinkAbout3321 STOCKDALE HWY_HMBP 4.28.10UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program
Prevention Services
441�' 1. 900 Truxtun Ave., Suite 210
igE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
G l'o kww
INSPE T N DAT
28 a
INSPECTION TIME
6-
ADDRESS
PHONIE NO.
NO OF EMP ES
FACILITY CONTACT
USINESS ID NUMBER
15-021-/(30
Section 1: Business Plan and`Inventory Program,
Er ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
Ef
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
-
❑
VERIFICATION OF INVENTORY MATERIALS
❑
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
❑
Z
EMERGENCY PROCEDURES ADEQUATE
Ef
CONTAINERS PROPERLY LABELED
EY
❑
HOUSEKEEPING
❑
❑
FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE P LL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention 71 1�' In / Shift of bit/Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05