HomeMy WebLinkAbout3713 AUBURN STREET_HMBP 3.7.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B_ a R SF 1 D 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
6� �-N1. �-�sP >T
INSPECTION DATE
3-7 -2-c, it
P
INSEC I ME
ION T
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ADDRESS '3 � � 3 ' J `-' 6L) � 577
P ONE NOO. 34 3
NO OF ( S YEES
FACILITY CONTACT
D P, V —TT —.
USINESS ID NUMBER p p
15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
^"� (�
l/ (�
C1 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
Kbr -WM
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105