HomeMy WebLinkAbout3401 MALL VIEW ROAD_HMBP 5.24.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST e e R s F , 0 900 Truxtun Ave., Suite 210
- -- -_— - - - �_ - - - - - -- -- — FE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program I "Rr"' f Tel.: (661) 326 -3979
! Fax: (661) 872 -2171
FACILITY NAME
c C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND
2 7L"
c
— / —/
Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
J
Er ❑
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
M" ❑
CORRECT OCCUPANCY
BUSINESS ID NUMBER
2 ❑
VERIFICATION OF INVENTORY MATERIALS
Section 1: Business ,,,Plan and Inventor Program ..
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
V= Violation
COMMENTS
L✓J ❑
APPROPRIATE PERMIT ON HAND
c
❑
Business PLAN CONTACT INFORMATION ACCURATE
J
Er ❑
VISIBLE ADDRESS
M" ❑
CORRECT OCCUPANCY
2 ❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
— n ,,y�
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
1300-633 -/ o
❑
VERIFICATION OF MSDS AVAILABILITY
O
Er'*' ❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
of
rxL
❑
SITE DIAGRAM ADEQUATE & ON HAND
—
900 6
D
1,609 r
ANY HAZARDOUS WASTE ON SITE? VfOES ❑ NO nef 9V1J
EXPLAIN: L Telnl ;_ 4' 4 ot•e ael9 .' S4—. IL
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention 11" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05