HomeMy WebLinkAbout3809 SAN DIMAS_hmbp 6.16.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
r i , n
900-'1Yuxtun Ave., Suite 210
E
ZARTM
Bakersfield, CA 93301
Tel.: (661) 326 -3979 .
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
-G 67
INSPECTION TIME
ADDRESS
'3 /f1'l,�l`
PHONE NO
3�2�7 7d
NO OF EMPLOYEES
7
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- 80,2,
Sectloln 1 Business Plarr and Inventory Program
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ROUTINE 0 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
❑
2**� VERIFICATION OF INVENTORY MATERIALS
/� V
❑
3 / VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑
B' VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
21"13 EMERGENCY PROCEDURES ADEQUATE
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❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? 46� ❑ NO
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EXPLAIN: �� s�k " -1xxi�-
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 # Busi ss Site /Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05