HomeMy WebLinkAbout7001 SCHIRRA CT_HMBP 5.27.10I
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FACILITY NAME
Prevention Services
B 0 R S F t _
TIRE
Bakersfield, CA 93301
ARTH f
4
Tel.: (661) 326 -3979
FACILITY CONTACT
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
S�7 O
INSPECTION TIME
ADDRESS
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PHONE NO.
3 �6 53
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 -
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
❑ 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
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
1
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
6S.�ll� /mss
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 j
Insp V lease rint) a Prevention 11" In / Shift of Site /Station # Business Zte / Responsible Party (Please Pri )
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05