HomeMy WebLinkAbout4001 Ming Avenue_HMBP 5.26.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 41�7�1. 900Truxtun Ave., suite 210
-- - - -- am Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM � Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
vi -v
3 epo+
❑ APPROPRIATE PERMIT ON HAND
INSPECTION DATE
51C;2 6 a o/D
INSPECTION TIME,
,50 I_7164e5
ADDRESS
y� i
✓nr�
PHONE NO.
NO OF EMPLOYEES
I_�/ 1:1 VERIFICATION OF INVENTORY MATERIALS
0,
O ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
FACILITY ;rTACT
rX
II kce
-
aIrue cso s
BUSINESS ID NUMBER
15 -021-
,
is
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Section 1 :,-�BusJne s Plan and;lnventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
e 13 Business PLAN CONTACT INFORMATION ACCURATE
,_/
R' ❑ VISIBLE ADDRESS
2r ❑ CORRECT OCCUPANCY
I_�/ 1:1 VERIFICATION OF INVENTORY MATERIALS
O ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
Er ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Eo/❑ EMERGENCY PROCEDURES ADEQUATE
Nd' ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
M"'- ❑ FIRE PROTECTION
U"" 11 SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE TE? y��S ❑ NO
EXPLAIN: `Jl�V 4 �SIA('` t 1 o� Z '81 !/N b/1
NS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Von/? 7Z
Inspector (Please Print)
Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink -w-Business Copy
FD 2155 (Rev. 09/05