HomeMy WebLinkAbout3500 Stine Road_HMBP 6.8.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
E rJj!A , _ D 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (66 1) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
C V �� Ar /►7 0� C
log
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ADDRESS
ONE O.
NO OF EMPLOYEES
itne
Ef ❑ VERIFICATION OF INVENTORY MATERIALS
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FACILITY CONTACT /
r.n..,( G (o / %�'' ASS-
BUSINESS ID NUMBER
15 -021-
1
Section 1: Business Plan and Inventory�Prog'ram-
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
2 ❑ VISIBLE ADDRESS
C7 ❑ CORRECT OCCUPANCY
Ef ❑ VERIFICATION OF INVENTORY MATERIALS
Id ❑ VERIFICATION OF QUANTITIES
M ❑ VERIFICATION OF LOCATION
P / ❑ PROPER SEGREGATION OF MATERIAL
Ef'o'-❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
—/
(y ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
[� ❑ EMERGENCY PROCEDURES ADEQUATE
Er ❑ CONTAINERS PROPERLY LABELED
V ❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON ITE?
EXPLAIN: �-�' ✓e ✓�
/❑ NO
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C1U TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
/
Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05