HomeMy WebLinkAbout4698 American Avenue_HMBP 6.10.10UNIFIED PROGRAM INSPECTION vCHECKLIST11
SECTION 1: Business Plan and Inventory Program
Prevention Services
B rA. 1 _D 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY�P AE
INSPECTION DATE
INSPECTION TIME
ADDRESS
'169
PHONE NO.
_b3y-5 (0C_0
NO OF EM LOYEES
r,c
❑ CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESS ID NUMBER
%r, —)e,,,-,- ti ' 314 — 5(o too
15 -021-
Section 1B_usiness�Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
(M- ❑ APPROPRIATE PERMIT ON HAND
i0_ 11 Business PLAN CONTACT INFORMATION ACCURATE
ob ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
dT ❑ VERIFICATION OF LOCATION
Lf ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
�ldl ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
�( r� 1 5,&- Vlr q
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZAR NS W
EXPLAIN' t I �
TE ON SITE? ( ❑ YES 1� NO �+ ^pf OU1J
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector trle4e Print) Fire Prevention / 1" In / Shift of Site /Station # usines ite / Respons' Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05