HomeMy WebLinkAbout5401 BRUNDAGE LANE_HMBP 6.9.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F I o 900 Truxtun Ave., Suite 210
4 F/RE Bakersfield, CA 93301
A Rrw f Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INS TION DATE
INSPECTION TIME
MCI TN0� 1�)96L n1 E a
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ADDRESS
PHO NO.
NO OF EMPLOYEES
60 �' �2 tgD -64�6 GA-)
3f. 3 — q6 to
FACILITY CONTACT
USINESS ID NUMBER
❑ VERIFICATION OF LOCATION
15 -021-
Section 1 : Business Plan and InventoryPreg ram
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V 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
oe
-E —C 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?
EXPLAIN:
❑ YES /�o NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy
AURI -M:
Busin I e/ RegPol4bM Party (Please Pri
Pink — Business Copy FD 2155 (Rev. 09/05