HomeMy WebLinkAbout4920 DISTRICT Boulevard_HMBP 4.26.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION• 1: Business Plan and Inventory Program
nINTHPrevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
TeL: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
t
INSPEE,jCTIO DAT
INSPECTION TIME
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i ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE NO.
NO OF EMP OYEES
y d -
- v
3
FACILITY CONTACT
BUSINESS ID E
❑ VERIFICATION OF LOCATION
15 -021-
i.c . A-
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ii $ectloln 1 Business Plan and I nventory Program
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
i ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
11 VISIBLE ADDRESS
21""
21 CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
Er ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
2( ❑ HOUSEKEEPING
IQ ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ;SES ❑ NO
EXPLAIN: 144y70f_ 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. 09105