HomeMy WebLinkAbout4120 TRUXTUN AVENUE_HMBP 5.24.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
R _ DRPrevention Services
TN , 900 Trux tun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
\
- z. 1
1 3 0
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
Pe.rll (n/o
BUSINESS ID NUMBER
15 -021 - p a
Section 1 BusmeSS Plan and'Inventory Programs_
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION -
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
�J
❑
APPROPRIATE PERMIT ON HAND
m
❑
BUSII1esS PLAN CONTACT INFORMATION ACCURATE
17
❑
VISIBLE ADDRESS
®
❑
CORRECT OCCUPANCY
0
❑
VERIFICATION OF INVENTORY MATERIALS
Z
❑
VERIFICATION OF QUANTITIES
M
❑
VERIFICATION OF LOCATION
121
❑
PROPER - SEGREGATION OF MATERIAL
J6
❑
VERIFICATION OF MSDS AVAILABILITY
12
❑
VERIFICATION OF HAZ MAT TRAINING
IX
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
56
❑
EMERGENCY PROCEDURES ADEQUATE
f�l
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
J21
❑
FIRE PROTECTION
.�'
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO
EXPLAIN: � ST'
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / ResporAble Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05