HomeMy WebLinkAbout5329 OFFICE CENTER COURT _HMBP 5.31.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
rAft „ 900 Truxtun Ave.; Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax:. (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT /
9
BUSINESS ID NUMBER
15- 021 - OozlaFe
J
Section ' Business Plan and ,Inventory Programtl
ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
• CORRECT OCCUPANCY
Q' • 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 WA T ON /SITE? , eVYES ❑ NO
EXPLAIN-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention/ P' In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05