HomeMy WebLinkAbout3650 Stine Road_HMBP 5.19.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
900 TYuxtun Ave., Suite 210
F/ RE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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19 /_2o /o
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ADDRESS
36,50 -h „e r�.
PHONE N0.
- -5 -93Yy
O OF EMPLOYEES
0
FACILITY CONTACT
3USINESS ID NUMBER
MAW G��%
15 -021-
V ❑ VERIFICATION OF LOCATION
,Se�ctlon 1 Business Plan and Inventory'Program
ROUTINE El 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
M-' ❑ CORRECT OCCUPANCY
GY ❑ VERIFICATION OF INVENTORY MATERIALS
L" ❑ VERIFICATION OF QUANTITIES
V ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
Q' ❑ VERIFICATION OF MSDS AVAILABILITY
Er El VERIFICATION OF HAZ MAT TRAINING
2"
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Ir ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
93' ❑ HOUSEKEEPING
0,' ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
KU"uid
ANY HAZARDOUS WASTE ON SITE? 2'f S ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05