HomeMy WebLinkAbout5101 DISTRICT Boulevard_HMBP 4.26.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory - Program
"RTM Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel (661) 326 -3979
Fax: (661) 872 4171
FACILITY NAME
INSPECTI N DA E
INSPECTION TI E
1/1
ADDRESS`
PHONE OO..
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT �'
BUSINESS ID NUMBER
15 -021- e5W4 j
A'
S`ectlon° 1 Business Planand Iliventory ' P
r
ROUTINE 11 COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑N RE- INSPECTION
C v ( C= Compliance` J OPERATION.
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
Zf ❑ 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
2 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/❑
ICY .❑ EMERGENCY PROCEDURES ADEQUATE
Pf ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
/O -7'�i /.?
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
EXPLAIN: WA5 ,--r— IM.0T•D9- 0-'l
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
'Z' .. � s k /3
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05