HomeMy WebLinkAbout428 CHICO_HMBP 6.18.10UNIFIED PROGRAM, INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B. ER . 90-0 Truxtun Ave., Suite 210
FIRE Bakersfield; CA 93301
D ARTM Tel.: (661) 326 -3979
y Fax: (661) 872 -2171
FACILITY NAME
rn Cur i 0 "5 &"5 h-hi W r a Gtr 0-)01%
INSPECT ON DA E
INSPEC ION TIME
ADDRESS
PHONt NO.
NO OF ELOYEES
❑ VISIBLE ADDRESS.-
❑ CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - cx-b ,3Z5-
Section91 Business Plan and Inventory Program F
a _ _ ��.
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT P ❑ ARE- INSPECTION
C v c C= Compliance OPERATION
V= Violation l
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
X❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS.-
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATOQUANTITIES
21 C1 VERIFICATION OF LOCATION
/
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
f� ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ;ANO
EXPLAIN:
Inspector (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy . FD 2155 (Rev. 09/05