HomeMy WebLinkAbout4530 MING Avenue_HMBP 6.3.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST rERSFF1 o 900gYuxtun Ave., Suite 210
Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME -r
E'
INSPECTION DATE
INSPECTION TIME
0 0 0
ADDRESS
PHONE NO.
NO OF EMPLOYEES
C/ ❑ VISIBLE ADDRESS
/
❑ CORRECT OCCUPANCY
FACILITY CONTACT L �3 7Gv
USINESS ID NUMB15-021 _ 100
i3�_xSeclion j : - Business Plan and Inv_entory_frogram =
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
1/ ❑ Business PLAN CONTACT INFORMATION ACCURATE
C/ ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
1 1:1 VERIFICATION OF QUANTITIES
t ❑ VERIFICATION OF LOCATION
C� ❑ 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:
❑ YES IZ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Ric"rze . 61() 7 (116fi6�41
Inspector (PI ase Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Res onsible Party ( lease Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05