HomeMy WebLinkAbout3500 PANAMA_HMBP 5.4.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
B E R S F 1 D
900 Truxtun Ave., Suite 210
F/RE
Bakersfield, CA 93301
ARTM
Tel.: (661) 326 -3979
.
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
<- s -n
- -�/
o
ADDRESS
HONE NO�0
O OF EMPLOYEES
V Yana, r,-*-,
V
/V`
FACILITY CONTACT
BUSINESS ID NUMBER
G /
15 -021-
Section 1 Business Plan and Inventory Program
POUTINE ❑ 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
❑ 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
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
W -WlJ
ANY HAZARDOUS WASTE ON SITE? ❑ YES „�l NO
EXPLAIN: VV��
0 alS � � �CY5e�h
QUESTIONS REGARDING YHIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
�0� O� - Ci
Inspector (Please Pri ) Fire Prevention / 1" In / Shift of Site /Station # Bu's'es Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05