HomeMy WebLinkAbout4401 STINE ROAD_HMBP 5.3.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan,and Inventory Program
Prevention Services
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900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME o
INSPECTION DATE
INSPECTION TIME
❑
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OF EMPLOYEES
i
i al
VISIBLE ADDRESS
FACILITY CONTACT
BUSINESS ID NUMBER / /
15 -021- QrX3 V
❑
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'Section 1 Business Plan and Inventory Program`
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/❑
LET ❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
FIRE PROTECTION
-
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES NO
QUESTIONS EGARDI G T IN CTION? PLEASE CALL US AT (661) 326 -3979
nsp r (Please Prl ) Fire Prevention / 1" In / Shift of Site /Station # usiness
White - Prevention Services Yellow - Station Copy Pink -Business Copy -
FD 2155 (Rev. 09/05