HomeMy WebLinkAbout4128 CHESTER AVENUE_HMBP 5.27.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILI NAME
INSPECTION CAT
INSPECTION TIME
Prevention - Services.
R F, R s F__, D
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
D aRrM
Tel.: (661) 326 -3979
BUSINESS ID NUMBER
Fax: (661) 872 -2171
FACILI NAME
INSPECTION CAT
INSPECTION TIME
❑ $5,-,
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OFEMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
I - -�.
Section 1 Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance) OPERATION
V= Violation
COMMENTS
❑ $5,-,
APPROPRIATE PERMIT ON HAND
CIS ❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
/
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
' ❑
VERIFICATION OF LOCATION
r ❑
PROPER SEGREGATION OF MATERIAL
IEP ❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
-E391-- VERIFICATION'OF ABATEMENT SUPPLIES AND PROCEDURES
❑
/
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES �NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -39
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # siness Site /Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev..09 /05