HomeMy WebLinkAbout5409 ALDRIN Court_HMBP 4.23.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A L*T„ 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
/
; 1 q 0o ti & _
ADDRESS
PHONE NO.
NO OF EMPLOYEES
e_-
344 -dy
D
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021- OOC) S'41 q
VL—
❑
" Section 1: Business Plan and Inventory F�rogram
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
VL—
❑
CORRECT OCCUPANCY
IP
❑
VERIFICATION OF INVENTORY MATERIALS
JW
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
J
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
F
❑
VERIFICATION OF HAZ MAT TRAINING
1K
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
�D
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES CIO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL Us AT (661) 326 -3979
Gam'
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bugir6ss Site / stTe Party ( ase Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105