HomeMy WebLinkAbout6405 MING Avenue_HMBP 6.16.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention services
A e R 5 F t o 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
�RrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME \
INSPEC ION DA
oo
INSPECTION TIME
ADDRESS
P
NO OF EMPLOYEES
J�
(�
❑ CORRECT OCCUPANCY
FACILITY CONTACT
USIN ID NUMBER SS-aW
'
❑ VERIFICATION OF QUANTITIES
C v C= Compliance OPERATION
V= Violation
COMMENTS
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
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ RIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
❑ V RIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ MERGENCY PROCEDURES ADEQUATE
❑ ONTAINERS PROPERLY LABELED
❑ H USEKEEPING
❑ PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES i0 NO
nor - 1j
QUEST 7S REGARD�HIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 /
Inspector (PIkAe Print) 40re Prevention / 1s' In / Shift of Site /Station # Business Site / Responsible P rty (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105