HomeMy WebLinkAbout6017 Akers Road_HMBP 4.16.10559T '
UNIFIED PROGRAM INSPECTION CHECKLIST �'I
SECTION 1: Business Plan and Inventory Program
Prevention Services
JARTH R S P t o 900 Truxtun Ave., Suite 210
i/RE Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
L ,F A-Tra c.Y a -0/)
❑
4/-/4-/Q
ADDRESS
DHONE NO.
NO OF EMPLOYEES
I -40)
El
FACILITY CONTACT
3USINESS ID NUMBER
ICJ J
15- 021 - 0 L$ Z 10
�Sectlon 1 Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
\ C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
Pr
❑
Business PLAN CONTACT INFORMATION ACCURATE
9.
El
VISIBLE ADDRESS
ICJ J
❑
CORRECT OCCUPANCY
JO
❑
VERIFICATION OF INVENTORY MATERIALS
_
❑
VERIFICATION OF QUANTITIES
{�
❑
VERIFICATION OF LOCATION
E/
❑
PROPER SEGREGATION OF MATERIAL
91'
❑
VERIFICATION OF MSDS AVAILABILITY
V
❑
VERIFICATION OF HAZ MAT TRAINING
J6
❑
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 [�_JVO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05