HomeMy WebLinkAbout4000 STOCKDALE HWY_HMBP DEOL 5.5.11UNIFIED PROGRAM INSPECTION CHECKLIST!
SECTION 1: Business Plan and Inventory Program j
B E R S F I _D
FIRE
ARrN r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTIOONN TIME
I.
oo
ADDRESS C
LVC� J�+!�v`�
PHONE NO.
O OF E LOYEES
FACILITY CONTACT
3USINESS ID NUMBER
15- 021 - 0 COO 45
Section 1: Business Plan and.lnventory Program
OLITINE ❑ 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
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
IC ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
IK ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES /Tl NO
UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
.`71� S-
Inspector (Please Print) ire Prevention 11" In /Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05