HomeMy WebLinkAbout4601 DISTRICT BOULEVARD_HMBP 4.28.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
rLART . „
900 Truxtun Ave.,- Suite 210
Bakersfield, CA 93301
_Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPE TION 9ATE
INSPECTION TIME
C? ❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE N
NO OF EMPLOYEES
/P Q
❑ VERIFICATION OF INVENTORY MATERIALS
FAC ITY CONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
�$ectlo�n 1 Busmess�Plan and Iriventory ProgramV
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ -RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
C? ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
2r"'❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
2r, 0 PROPER SEGREGATION OF MATERIAL
.2 ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
2 / ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
Ef ❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
EXPLAIN: WA5%E OlI
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661),326-3979
z mss 451 �
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