HomeMy WebLinkAbout509 BRUNDAGE LANE_HMBP 4.12.10�.
UN
tFIEG PROGRAM INSPECTION CHECKLIST
SECTION 1: Business-Plan and Inventory. Program
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F /RE
DE ARTMENT
Prevention Services
900 Truxtun Ave'., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME / �/
S t'l��G V, / /
INSPECTION DATE
/I a2 ®�r�
INSPECTION TIME
fly Lac iLC S .
ADDRESS
P� E NO.
NO OF EMPLOYEES "
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
F
Sectliolli ,
1 Business' Plan and'lnventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
,
C
V"
(C=Compliance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
!-
(
❑
BUSIileSS PLAN CONTACT INFORMATION ACCURATE
1
F
❑
VISIBLE ADDRESS '
10
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF:INVENTORY MATERIALS
i
❑
VERIFICATION OF..QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER. SEGREGATION OF MATERIAL
❑
VERIFICATION111 OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
�f
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERSiPROPERLY LABELED
®
❑
HOUSEKEEPING
T
e
❑
FIRE PROTECTION
C]
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTIIE ON SITE? 11 YES NO
EXPLAIN:,
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661).326-3979 �^ F
Inspector (Please Print) dire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White Prevention Services Yellow - Station Copy Pink — Business Copy - FD 2155 (Rev. 09/05