HomeMy WebLinkAbout5400 GASOLINE ALLY_HMBP 5.14.10UNIFIED PROGRAM INSPECTION CHECKLIST.
SECTION 1: Business Plan.and Inventory Program
Prevention Services
H A T R 5, p 900 Truxtun Ave., Suite 21.0'
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME I
G� L S
IOI ATE I
INSPECTION TIME
ADDRESS P
PHONE NO. N
NO OF EMPLOYEES
FACILITY CONTACT B
BUSINESS ID NUMBER 7
an Inventory _Program
NJ ROUTINE ❑ COMBINED ❑ JOINT AGENCY �❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION COMMENTS
V= Violation
t( ❑ APPROPRIATE PERMIT ON HAND �) `-49- kil -r
Ik ❑ Business PLAN CONTACT INFORMATION ACCURATE
Y; ❑ 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
❑ HOUSEKEEPING
V, ❑ FIRE PROTECTION
VE ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ONN1 SITE? V1 YES ❑ NO
EXPLAIN:
QUESTIONS REGARDIN THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
. VA t -5 -4
Inspector (Please rint) ire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services I . Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
ANY HAZARDOUS WASTE ONN1 SITE? V1 YES ❑ NO
EXPLAIN:
QUESTIONS REGARDIN THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
. VA t -5 -4
Inspector (Please rint) ire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services I . Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05