HomeMy WebLinkAbout4609 New Horizon Boulevard_HMBP 3.23.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A E R S F I o 900 Truxtun Ave., Suite 210
aRE Bakersfield, CA 93301
ARTM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
3 -2
INSPECTION TIME
/
w r v
3-
_T6
ADDRESS
PHO E NO.
O OF EMPLOYEES
Z 1 7
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT
BUSINESS ID NUMBER -021 -60,3 YV
Section 1: Business Plan and .Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
P1
❑
VERIFICATION OF INVENTORY MATERIALS
Y
❑
VERIFICATION OF QUANTITIES
y7
❑
VERIFICATION OF LOCATION
0j
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
pl'
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
?
❑
EMERGENCY PROCEDURES ADEQUATE
Pf
❑
CONTAINERS PROPERLY LABELED
8
❑
HOUSEKEEPING
ET
❑
FIRE PROTECTION
fa
❑
SITE DIAGRAM ADEQUATE & ON HAND
net -oUlJ
ANY HAZARDOUS WASTE ON SITE? ❑ YES LN0
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
h /1/16- .,- iZI A
In pector` (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05