HomeMy WebLinkAbout4100 TRUXTUN AVENUE #390_HMBP 5.13.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
I&A R S F I D
IRE
RTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE N0.
3
NO OF EMPLOYEES
6�
vo 2
l 2 --
ELY ❑ CORRECT OCCUPANCY
FACILITY CONTACT
Q_ab-c-+ ( S 3) 91-7(o
SINESS ID NUMBER
1 15- 021 - 0 0Z 14
Section I: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
P" ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
[5- ❑ VISIBLE ADDRESS
ELY ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
LEY ❑ VERIFICATION OF QUANTITIES
ISM- ❑ VERIFICATION OF LOCATION
Cr ❑ PROPER SEGREGATION OF MATERIAL
()Y ❑ VERIFICATION OF MSDS AVAILABILITY
LY ❑ VERIFICATION OF HAZ MAT TRAINING
9?'- ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Ea,-*'[:] EMERGENCY PROCEDURES ADEQUATE
I- ❑ CONTAINERS PROPERLY LABELED
(y ❑ HOUSEKEEPING
Y ❑ FIRE PROTECTION
V ❑ SITE DIAGRAM ADEQUATE & ON HAND
Kbr -_buu
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTIO ASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Lion s n / Shift of Site /Station # Busindss Site / R sponsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05