HomeMy WebLinkAbout5500 WIBLE ROAD_HMBP 5.14.10UNIFIED- PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory. Program
N DYNPrevention Services
900Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAM
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
30 avo-i
ADDRESS
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PI10N0.�o
3
NO OF EMPLOYEE
`/ (6
FACILITY CONT
kA 3 3 q
BUSINESS ID NUMBER
15- 021 -d(�Zg 3 7
B �g Pro ��
Sectwn 1 uslness Plan and Inventor gram �� ,� �.a
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ �RE-INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
bi,
APPROPRIATE PERMIT ON HAND
469 0 qw bC O -2
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
9k
❑
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
19
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES I& NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
11-4 y -4
Inspector (Please Print) Fire Prevention / 1 sl In / Shift of Site /Station #
Hnny
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05