HomeMy WebLinkAbout3910 BUCK OWENS BOULEVARD_HMBP 5.14.10UNIFIED PROGRAM INSPECTION CHECKLIST rAR Prevention Services
0 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPE TION D TE
INSPECTION TIME
1 -1 S uQ��� v
j �3
fa
ADDRESS
HHONE NO.
NO OF EMPLOYEES
Business PLAN CONTACT INFORMATION ACCURATE
\jNQ PA J G � � e ms S
(�
FACILITY CONTACT 39 1 vO
3USINESS ID NUMBE
VISIBLE ADDRESS
15 -021-
'$ectlon 1: Business Plan, ands Inventory..Program "
❑ ROUTINE Nh COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
fa
APPROPRIATE PERMIT ON HAND
❑
J5
Business PLAN CONTACT INFORMATION ACCURATE
\jNQ PA J G � � e ms S
(�
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
L�a ❑
/;1-,
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
Cb
El
VERIFICATION OF MSDS AVAILABILITY
L
lb
❑
VERIFICATION OF HAZ MAT TRAINING
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
❑
EMERGENCY PROCEDURES ADEQUATE
❑
Li
CONTAINERS PROPERLY LABELED
G;�l
❑
HOUSEKEEPING
19
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ` 0YES ❑ NO
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 Party (P ease Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05