HomeMy WebLinkAbout3500 CHESTER AVENUE_HMBP 9.21.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
rANTM 0 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME O
1
INSPEC`ION DATE
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INSPECTION TIME
E
1",150
ADDRESS
3.s0v
41:5-31 lqz&7v
NO OF EMPL PEES
l
FACILITY CONTACT
(/ 9iex gD ✓1
BUSINESS ID NUMBER
15- 021 -
Section 1: Business Plan and Inventory Prrogram ° � � � � �'
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
El' 11 APPROPRIATE PERMIT ON HAND
B' ❑ BUSIYteSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
P7 60AI 4"
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
2-"El PROPER SEGREGATION OF MATERIAL
�❑ VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
f /❑
LT ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
if' ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
ff ❑ FIRE PROTECTION
EY'11 SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES e_<O
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05