HomeMy WebLinkAbout5300 STINE_HMBP 4.26.11UNIFIED PROGRAM INSPECTION- CHECKLIST
SECTION 1 Business Plan and Inventory Program
nARTMPrevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661)8 72-2171
FACILITY NAME
INSPECTI N DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
❑ VISIBLE ADDRESS
7 - 00
CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
Section 4, Business Plan and ln�entory Program
❑ ROUTINE' ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C v c 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
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
2( 0 HOUSEKEEPING
0 ❑ FIRE PROTECTION
Ge" ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ONO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business ite / Responsole Pa r lease Print)
White - Prevention Services Yellow - Station Copy Pink -Business Copy ' FD 2155 (Rev. 09/05