HomeMy WebLinkAbout6675 MING Avenue_HMBP 6.16.10L
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
rAR u 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECT ON DA E
INSPECTION TIME
❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHO ENO.
NO OF EMPLOYEES
/`'tom �-
FSv -S7s3
FACILITY CONTACT
BUSINESS ID NUMBER
C%/v G�
15- 021 -L�3S Z y
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Section 1: Business, Plan anmd Inventory Program
iV
ROUTINE 11 COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance) OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSII1eSS 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
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
_Ie�❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
e-f!r'— ❑ SITE DIAGRAM ADEQUATE & ON HAND
KUV -eUlJ
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑DYES
❑ NO
QUESTIONS REGARD G THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (P se Print) Fir revention 11" In / Shift of Site /Station # Business Site / Resl5onsible Pay Plea int)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05