HomeMy WebLinkAbout4401 STINE Road_HMBP 3.23.10lv6v.
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
ri 900 Truxtun Ave., Suite 210
JA Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
G oyr 1U11L4--A77610
INSPECTION DATE
°Z (�
INSPECTION TIME
101
ADDRESS O/
P'6 NO.. q�
NO OF EMPLOYEES
Z`I/�
FACILITY CONTACT
M 114 `
BUSINESS ID NUMBER
15.021-()66W
Secfion 1 Business Plan and�inventory Program
S o . -
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
IGf
❑
Business 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
�Y
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
Of
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
I,
FIRE PROTECTION
9k N r y � f ' r' f Z
Gw
❑
SITE DIAGRAM ADEQUATE & ON HAND
&K 1
1XIiaoFl
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES fh NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # B mess Site / Re nsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy v FD 2155 (Rev. 09/05