HomeMy WebLinkAbout551 SHANLEY STREET_HMBP 6.16.11UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plan and Inventory Program
A_ E R S F I D
F /RE
ARTM r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
MP"f'QQS 4-3 i
`C( ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
�H
ADDRESS
PHONE NO.
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMB R
�r
15 -021- C>CO14)
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Section 1: Business Plan and Inventory Program
XROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
O� ❑ APPROPRIATE PERMIT ON HAND
`C( ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
Itk ❑ VISIBLE ADDRESS
t!fo 1:1 CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
J ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
7 ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION t )
I&
❑ SITE DIAGRAM ADEQUATE ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0<1\10
EXPLAIN:
QUESTIONS
A L;;�z � j )eu�� REGARDING THIS INSPECTION? PLEA CALL US AT (661) 326 -3979 1 W4-1-* /�
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Inspector (Please Print) Fire Prevention / 1' In ift of Site /Station # Business Site / Responsible Pa y (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105