HomeMy WebLinkAbout730 BRUNDAGE LN_HMBP 6.4.10UNIFIED PROGRAM INSPECTION CHECKLIST` / ---L Prevention Services
N A >z �. ,_ E _ _„ 900 Tiuxtun Ave., Suite 210
� Fief Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program
DE-
SECTION �� Ti (661) 326 -3979
Fax: (661) 872 -2171
FAC LITY NAME
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INSPECTION DATE
INSPECTION TIME
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173q5'
ADDRESS
PHONE NO.
NO OF EMPLOYEES
% eA
'312-1 Z
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15-021 -
M-10, I
Section 1: Business Plan andsJnuentory..Program a
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
�7
❑
CORRECT OCCUPANCY
�J
❑
VERIFICATION OF INVENTORY MATERIALS
CII
❑
VERIFICATION OF QUANTITIES
f 3
❑
VERIFICATION OF LOCATION
Q
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�l
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
49
❑
HOUSEKEEPING
❑
FIRE PROTECTION
nc
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES NO
QUESTIONS REGARDING IS INS CTI ? P SE CALL .US AT (661) 326 -3979
Inspector (Please Print) Pre lion / -In / ift of Site /Station # Bu ass Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105