HomeMy WebLinkAbout5544 STOCKDALE Hwy_HMBP 6.2.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST F jFIJR?E 900 Truxtun Ave. ;'Suite 210
Bakersfield, C A 93301
SECTION 1.: Business Plan and- Inventory Program o Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY N 1
i C, �-`
INSPECTION DATE
� ' Z
INSPECTION TIME
(7 01,w,
C,c
❑ BUSUIeSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE NO.
O OF EMPLOYEES
FACILITY CONTACT
4
BUSINESS ID NUMBER
15 -021- /(�pV 1e00
((V S c L 'C. li �^
❑ VERIFICATION OF QUANTITIES
Secbon� 1 Buslnes`s Plan and Inventory Program, "
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V r C= Compliance OPERATION
l V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSUIeSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
_'9 ❑ 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?
EXPLAIN:
❑ YES'%S"%N NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
SGCSR— J AH!16
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # usi ss Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05