HomeMy WebLinkAbout720 WILLIAMS_HMBP 4.22.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B e R S F, 0 900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
�OVTNE,eni CAL�roQ,viA 4/4
INSPECTION DATE
91-2.2-10
INSPECTION TIME
&..30
ADDRESS
77.E W1tt1,q1,vs
PHONE NO.
37- 7- -7z2- 7,
NO OF EMPLOYEES
�3
FACILITY CONTACT
A,Z,V16- /V1 a FNO 97 - 2/s y
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
,E;�,
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑
59-
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
/
❑
VERIFICATION OF INVENTORY MATERIALS
,d
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
.4_
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
Xt
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
K
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
X
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ENO
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
10A,11 5
Inspector (Please Print) Fire Prevention / 1' In / Shift of Site /Station # Business ife Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05