HomeMy WebLinkAbout4576 DISTRICT BOULEVARD_HMBP 4.28.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
"0. Prevention Services
900 TrUxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax:, . (661) 872 -2171 .
FACILITY NAME �
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INSPECTION DAT
INSPECTION TIME
/
5
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
V�. /
BUSINESS ID NUMBE
15- 021 -
❑ VERIFICATION OF QUANTITIES
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�Sectlon 1� Business Planand Ir�dentoryProgram ��
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑- COMPLAINT ❑ RE- INSPECTION
C v C C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
i/❑
J.d' ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
2" ❑ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
�❑
.2- ❑ VERIFICATION OF HAZ MAT TRAINING
' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ PIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? .YES ❑. NO
EXPLAIN: WASTE Oil
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05