HomeMy WebLinkAbout4901 COMMERCE DRIVE_HMBP 6.16.114-
UNIFIED PROGRAM INSPECTION'CHECKLIST
SECTION 1: Business Plan and Inventory Program 11
•
Prevention Services
A �/ F R s , E�, „
900 Truxturi Ave., Suite 210
( FieE
Bakersfield, CA 93301
DE Ai M v r
Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
6
ADDRESS
PHONE NO.
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS
^
9 !
1- 7
❑ VERIFICATION OF LOCATION
FACILITY CONTACT
BUSINESS ID NUMBER'
15 -021- (gyp ZZ6-7
-• Section 1:- Business -Plan and Inventory Program
ROUTINE ❑ COMBI ED El JOINTAGENCY'` El MULTI-AGENCY El COMPLAINT 11 RE-INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
kM ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ i IOUSEKEEPiNG
❑ FIRE PROTECTION
d �✓3 pr�
❑ SITE DIAGRAM ADEQUATE & ON HAND
f `e—'
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN: - ` �.
QUESTIONS REGARDING IS INSPECTION? PLEASE CALL US AT (661) 326 -3979
AIX
Inspector (Please Print) ire Prevention In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy
't. FD 2155 (Rev. 09/05