HomeMy WebLinkAbout3807 SAN DIMAS_HMBP 6.16.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:. Business Plan and Inventory Program
.
Prevention Services
rI R : „
900 7)mxtun Ave., `Suite 210
ZARTM0111111111w,
E
Bakersfield, CA 93301
Tel.- (661) 326 -3979
Fax: 872
O OF EMPLOYEES
7
(661) -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
T f�Ar.�C LvIG S >DS_
04-11(.110
13Lfo
ADDRESS
3S 0 77 SAN _1> t kA-A5 -i
PHONE NO.
32'1 - a 35
O OF EMPLOYEES
7
FACILITY CONTACT
BUSINESS ID NUMBER
_")9Z8'9I Lc,
15 -021-
$ectlon A:. 'Business Plan- and;lnventolry Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
1I
❑
BUSRIeSS PLAN CONTACT INFORMATION ACCURATE
J
❑
VISIBLE ADDRESS
73
❑
CORRECT OCCUPANCY
Pi
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
C�
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES 9�-"N0
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 Paf (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05