HomeMy WebLinkAbout5444 CALIFORNIA Avenue_HMBP 6.2.10• Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST rDA ,, 90oTruxtunAve., Suite 210
Bakersfield, CA 93301
SECTION 1: Business Plan and Invento Pro ram Tel.: . (661) 326 -3979
Program (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Mr C\2 r
-2 - /+J
Jo A-0
ADDRESS
HONE NO.
O OF EMPLOYEES
yy \
�I - 322 .So�3�
1
❑ VERIFICATION OF QUANTITIES
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑'
FACILITY CONTACT
BUSINESS ID.NUMBER
15- 021 -
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
Section 1.
BusmessAPIan and Inventory Program
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
1
❑ VERIFICATION OF QUANTITIES
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑'
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
❑ PROPER SEGREGATION OF MATERIAL '
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
1
❑ 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 WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ~
Inspector (Please Print) Fire revention /. 1" In / Shift of Site /Station # Business Site / Resp Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05