HomeMy WebLinkAbout6300 WHITE LANE_HMBP 6.18.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
R rA. I o 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME I
INSP TI INR D E I
INSPECTION TIME
ADDRESS // P
PH E.fJO. ' O
O O�MP�EES
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FACILITY CONTACT B
BUSINESS ID NUMBER
FACILITY NAME I
INSP TI INR D E I
INSPECTION TIME
ADDRESS // P
PH E.fJO. ' O
O O�MP�EES
{ C__N �
FACILITY CONTACT B
BUSINESS ID NUMBER
15 -021- 0c:�'-5 2`92
an andfnventolry ,,Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Cornpliance) OPERATION COMMENTS
V= Violation
APPROPRIATE PERMIT ON HAND
❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
XO CORRECT OCCUPANCY
XO 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
KHF -6UEJ
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector WlAse Pri ) Fir revention / 1s' In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
KHF -6UEJ
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector WlAse Pri ) Fir revention / 1s' In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05