HomeMy WebLinkAbout627 WILLIAMS STREET_HMBP 5.22.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B___ 900 Truxt.un Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY
N E I
1
INSP CTION ATE
3 (LI 110
INSPECTION TIME
1 o :2-17-
ADDRESS
PHONE NO. Q
NO OF EMPLOYEES
FACILITY CONTACT _11 IEN„ f rS /r f 6✓t'C( *
I Lc:v C� G1�tSJ
BUSINESS ID NUMBER
15 -021-
v, 1'
U 0/72-1419
BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
1J 011 L_ "WSW%V, bbl .151 U 1 A
Section 1 Business Plan and,,,
❑ ROUTINE ❑ . COMBINED ❑ JOINT AGENCY GENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
'\E1
❑
APPROPRIATE PERMIT ON HAND
❑
BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
LI
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
,1
❑
PROPER SEGREGATION OF MATERIAL
91
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
�I
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
,8
❑
HOUSEKEEPING
93
❑
FIRE PROTECTION
J ]
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
�QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661). 326 -3979
Inspector (Please Print) - Fire Prevention / 1" In / Shift of Site /Station #
Busi ess Resp sibl rty (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05