HomeMy WebLinkAbout6000 PHYSICIANS BOULEVARD_HMBP 6.23.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program .
FACILITY NAME
0 � R �+1 � C �:) C �- �1 e ,^
Services
INSPECTION TIME
900 Truxtun Ave., Suite 210
"Prevention
.,
Bakersfield, CA 93301
FACILITY CONTACT
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
0 � R �+1 � C �:) C �- �1 e ,^
INSPECTION DATE'
Z9
INSPECTION TIME
ADDRESS
ova I V�
PHONE NO.
3,22, -) iwip
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
m.
.�
$ectlon 1 BuslnessPlan and Inventory Program`
�:. 41, .
❑ ROUTINE OMBINED ❑�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
�R
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
/�1
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
P
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON IT OYES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy. FD 2155 (Rev. 09/05