HomeMy WebLinkAbout532 BELL TERRACE_HMBP 5.11.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
V4 _ L-� \.r +� i -��,j is
Prevention Services :
1.11 . R S F .I E ,_ n
F/RE
900 lYuxtun Ave., Suite 210
Bakersfield, CA 93301
�ARTM �T
Tel.: (661) 326 -3979
FACILITY CONTACT
" � 1,
Fax: (661) 872 -2171
FACILITY NAME
V4 _ L-� \.r +� i -��,j is
INSPECTION DATE
S -1 f --zo I D
INSPECTION TIME
/5 Z o
ADDRESS`S ��
ONE
NO OF EMPLOYEES
Z
FACILITY CONTACT
" � 1,
BUSINESS ID NUMBER
15 -021-
�? r�6 1 €. 3 �.
,5 Sectwn 1 Business Plan and Inventory Program:„
...@.._. .8. b.
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIYIeSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
`�k
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
�-
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
�❑1
VERIFICATION OF HAZ MAT TRAINING
El
.��
t d, VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
%ZJ2-
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
V \ �I
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? DES ❑ NO
EXPLAIN: Li —n Lt, tj �
QUESTIONS REGARDING TH
Inspector (Please Print) Fire P/evention /
White - Prevention Services
PLEA CAL -US AT (661) 326 -3979
ft ite ation # Bu "sin s
Yellow - Station Copy Pink — Business Copy
FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION -CHECKLIST
SECTION 1: Business Plan and inventory Program
-�L Prevention Services
B A F. R s F I EE (. o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D PARTM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
- )
C�
ADDRESS
5.3Z 5z-LI.-F— -Tttz3�z C'A, 43_�>O7
PHONE NO.
8314- 7`? °0
NO OF EMPLOYEES
Z
FACILITY CONTACT
BUSINESS ID NUMBER
�►°� A o4 v--c) �
15 -021-
ROUTINE 11 COMBINED El JOINT AGENCY MULTI AGENCY COMPLAINT ^:E-INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
1
❑
APPROPRIATE PERMIT ON HAND
(�
❑
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
(1
❑
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
Q�
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�I
❑
EMERGENCY PROCEDURES ADEQUATE
i�
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ,R�t] /YESS❑ NO
/
EXPLAIN: `J A15a1�- 1
QUESTIONS REGARDING CTION? P SE CALL US AT (661) 326 -3979
SAC. Kai c.
Inspector (Please Print) F' ion / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05