HomeMy WebLinkAbout6400 NOTTINGHAM_HMBP 5.27.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
40- 5 F , 0 900 Truxtun Ave., Suite 210
F/IPE r Bakersfield, CA 93301
�RrM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME //
INSPECTI DATE
INSPECTION E
ADDRESS �
PHONE *NO. _
O OF EMPLOYEES
FACILITY CONTACT / BUSINESS ID NUMBER
15 -021- 00?/-53
Section 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
X9- 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
❑ ERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
KbF-W13
ANY HAZARDOUS WASTE ON SITE? ❑ YES�NO
EXPLAIN:
QUEST GARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
�e r D r 3-2) SA_
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Budiness Site / Re nsi&q Party (PTea s t)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05