HomeMy WebLinkAbout4306 MING AVENUE_HMBP 5.5.11UNIFIED PROGRAM INSPECTION CHECKLISTr
SECTION 1: Business Plan and Inventory Program
Prevention Services
4-E R S F, KI. 0 900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
ARrx T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
5— 5–
❑
ADDRESS
4,
PHONE NO. Cy L
-7 7O
NO OFF EMPLOYEES
"Z L
FACILITY CONTACT
'
BUSINESS ID NUMBER
15- 021 - �v � 3
k� 0 J
Section 1: 'Bus °iness Plan "and Inventory Prograem
ROUTINE 01 COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
N
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
P,
❑
APPROPRIATE PERMIT ON HAND
Y �I
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
C
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
III
❑
VERIFICATION OF LOCATION
�E9
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .
❑
EMERGENCY PROCEDURES ADEQUATE
I
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
j
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZ�R)DOUS1 WASTE ON SITE? DYES ❑ NO
EXPLAIN: 1/i) Vi/ Inrp✓ (N/ S't( QV ) �'_
r I 'I ., i/ I -
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector. (Please Pint) Fire Prevention / 1" In / Shift of Site /Station # u nes Sif6 Wsponsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy
FD 2155 (Rev. 09/05