HomeMy WebLinkAbout3901 Wible Road_HMBP_EZ LUBE 5.19.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST;
) a e R 5 F , 0 900T=tun Ave., suite 210
-- -- - - - - -- — F/RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program " * f Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
3� o I 1N kb Le, c�
L
❑ CORRECT OCCUPANCY
FACILITY
TACT
Ll Se_l11
BUSINESS ID NUMBER
15 -021-
/ '
0-j1 /� rG /)
❑ VERIFICATION OF LOCATION
Sectiokln 1 , .Busilness£ Paan and.lnventory Piogram
ROUTINE ❑ 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
Y° ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
Rf ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
1
YJ ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
IV,-W I J
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: <4-e— (:�A 1 L
❑ NO
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 # Busin ss Site/ R onsi�Paty Pl ease Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05