HomeMy WebLinkAbout4450 STINE ROAD_HMBP 5.3.11UNIFIED PROGRAM INSPECTION CHECKLIST�i
SECTION 1: Business Plan and Inventory Program
**W . Prevention Services
B ER S P t o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM TeL: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
d,
❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
p V-7
ADDRESS
PHONE NO.
NO OF EMPLOYEES
-
❑ VERIFICATION OF INVENTORY MATERIALS
5—
FACILITYCC5NTACT
BUSINESS ID NUMBER 'J
15 -021-
4Er'❑ VERIFICATION OF LOCATION
70
�- Sectior 1 -''. Business Plan and Inventory: Prggram 11
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( c= Compliance) OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
a
❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
4Er'❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
;3 ❑ 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
!y 0.5
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
(a INib IN,1'tL:IIUN-( PLEASE CALL US AT (661).326 -3979
In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05