HomeMy WebLinkAbout647 CASA LOMA_HMBP 5.17.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1; Business Plan and Inventory . Program
B A F: R S F I D
P/RE
D ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield,. CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME C (I
N
710
:�LO
INSPECTION TIME
AC l "5- .
ADDRESS /�, I
W -it'
PHO E NO. f
U%•'7.7 71l
NO OF EMPLOYEES
$
FACILITY CONTACT }�
p4c, i
BUSINESS ID NUMBER
15_021-
Ell 111 1
Section 1: Busin ess Plan and Inuen
m tort' Program
9111R,
ROUTINE ❑ COMBINED ❑ JOINT AGENCY -:' ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
�/
I❑ APPROPRIATE PERMIT ON HAND
nd/
2'J ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
MJ ❑ VISIBLE ADDRESS
� ❑ CORRECT OCCUPANCY
/
IiJ ❑ VERIFICATION OF INVENTORY MATERIALS
R / ❑ VERIFICATION OF QUANTITIES
0' ❑ VERIFICATION OF LOCATION
rX ❑ PROPER SEGREGATION OF MATERIAL
V ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
19' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
r�r ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
,R'
CJ ❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES 7 NO
EXPLAIN: !/
QUESTIONS REGARDING THIS INSPECTION ?. PLEASE CALL US AT (661) 326 -3979
e�Ll-
Inspec r (Please Print) Ire 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