HomeMy WebLinkAbout5060 CALIFORNIA AVENUE_HMBP 5.19.11• Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST!,[ A AT R s t . e�. n 900TruxtunAve., Suite 210
F /RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program '` °E�aRrM yr Tel.:. (661) 326-3979.-
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
/
❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES
-
- 32Z -
,
FACILITY` ONTA
BUSINESS ID NUMBER
VISIBLE ADDRESS
15-021-0004/7
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
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
1
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
r.
❑
EMERGENCY PROCEDURES ADEQUATE
11,_ CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
c c�
(
❑
FIRE PROTECTION
❑
SITE DIAGRAM,AD EQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES WN0
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
1 �
nspec or ( lease Print ` 416� revention / 1" In/ Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05