HomeMy WebLinkAbout5700 STOCKDALE Hwy_HMBP 6.2.10FACILITY NAME
V� V%
•
INSPECTION TIME
30 M.,
Prevention Services
UNIFIED
SECTION
PROGRAM INSPECTION CHECKLIST
1: Business Plan and Inventory Program -
R
rAft „
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: J661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
V� V%
INSPECTION DATE
6- z- /U
INSPECTION TIME
30 M.,
ADDRESS
PHONE NO.
3zr.
NO OF EMPLOYEES
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
FACILITY CONTACT
11
BUSINESS ID NUMBER
15 -021- (poy�p�
r `Section 1 Business Plan and Inventory Program .-
ROUTINE ❑ COMBINED ❑ JOINT A ,_....� G ._,..
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 HAN
'ANY HAZARDOUS WASTE ON SITE? ❑ YES "N NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1” In / Shift of Site /Station # Bu iness le Party (Please Print)
White — Prevention Services I Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05