HomeMy WebLinkAbout728 1/2 19TH_HMBP 4.23.10P Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST! B e R s F , 900TruxtunAve., Suite 210
F RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARAM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPE TION DATE
INSPECTION TIME
VC)Ab S -_ Tz ✓! c ,_
U
//00
ADDRESS
PHONE NO.
NO OF EMPLOYEES
`) z '/z -' -r 1-4
'525 - IYOo
3
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- (::0/
�,5ection 1�: Business Plan and,lnventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
Business Site / Responsible F
❑
APPROPRIATE PERMIT ON HAND
I [
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
A
❑
CORRECT OCCUPANCY
/
❑
VERIFICATION OF INVENTORY MATERIALS
"IN'
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
I
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
"-
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
4�-
❑
FIRE PROTECTION
F❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
A #1 !
Inspector (Please Print) J Fire P evention / 1" In / Shift of Site /Station #
Business Site / Responsible F
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105