Loading...
HomeMy WebLinkAbout5500 WOODMERE DRIVE_WELL ANALYSIS HMBP 3.28.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program F DARTPrevention Services H 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME ` - INSPECTION ATE/ INSPECTION TIME ��\ �` � ❑ ADDRESS � � O PHONE NO. NO OF EMPLOYEES 73 U metO - 0 v FACILITY CONTACT ( o BUSINESS ID NUMBER 15 -021- ;J $ectlon 1 Business Plan�and Inventoary Program ROUTINE El COMBINED ❑ JOINTAGENCY ' ❑ 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 Ck ❑ 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: 7---1Y ,' �Ja 1,1,E0, _ Cry rnn �h�III yC��IcS.CoIV- QUESTIONS REGARDING THIS I SPECTION? PLEAS CALL US AT (661) 326 -3979 Inspector (Please rint) Fire Prevention / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05