HomeMy WebLinkAbout5300 GASOLINE ALLEY DRIVE_HMBP 4.28.11UNIFIED PROGRAM INSPECTION CHECKLIST
.SECTION 1: Business Plan and Inventory Program
rAR D
Prevention Services
900 Truxtun Ave -: Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSP;E�C T ��
INSPECTION TIME
ADDRESS
ba Ae
PHONE NO.
G --(." %g
NO OF EMPLOYEEU
35
a e V
'�2<❑ CORRECT OCCUPANCY
FACILITY CONTACT
*
BUSINESS ID NUMBER
15- 021- G:�OY`o;6)
❑ VERIFICATION OF QUANTITIES
�: „Section 1 Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT --❑ RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
_
❑. APPROPRIATE PERMIT ON HAND
a
❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
'�2<❑ 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
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO
EXPLAIN: WASH 01
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1” In / Shift of Site /Station # I e / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05