HomeMy WebLinkAbout4408 WIBLE ROAD_HMBP 4.22.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory . Program
FACILITY NAME �
Prevention Services
B A B R S- F „
. 900 Truxtun Ave., Suite 2.10
_,_ _
FARE
Bakersfield, CA 93301
D ARTM
Tel.: (661) 326 -3979
O OF E EES
Fax: (661) 872 -2171
FACILITY NAME �
INS TION D E
INSPECTION TIME
�. � �
2 Z to
COMMENTS
ADDRESS
�f [_/ O �C"5 _/�
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NE NO.
O OF E EES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
'Section1 Business Plan and inventory Pro 9 ram
r
ROUTINE 'El COMBINED C3 JOINT A e . ....
GENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance. OPERATION
V= Violation
COMMENTS
0
❑
APPROPRIATE PERMIT ON HAND
❑
❑
BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
V CATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES Q4
�
❑
VERIFICATION OF LOCATION Q
Tu
�� /�}� t✓
❑
PROPER SEGREGATION OF MATERIAL
❑
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
VERIFICATION OF HAZ MAT TRAINING
❑
❑
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?
EXPLAIN:
QU
M4 P_ (C- 0, e"
Inspector (Please Print) Fire
❑ YES ❑ NO
US AT (661)326 -3979
Ili / Shift of SiteAtation #
Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105