HomeMy WebLinkAbout5600 GASOLINE ALLEY_SANGERA HMBP 4.6.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory . Program
..
Prevention Services
S F ,__,_,
900 Truxtun.Ave., Suite 210
WE
ZARTM
Bakersfield, CA 93301
Tel.: (661) 326 -3979
NO OF EMP OYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE NO. 7
NO OF EMP OYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Vi t'1Q
15 -021-
J
r
a : •Sectidn 1 �BusinessTPlan and inventory�P ogram"
P--ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ 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
❑ 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 HAZA DOUS VAASTE ON SITE? BYES 13 NO
EXPLAIN:
� t
-5 2 eo r
QUESTIONS REGARDING THIS INSPECTION? LEASE CALL US AT (661) 326 -3979
Inspector (Please rint) Fire Prevention / 1" In / Shift of Site /Station # i ss Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05