HomeMy WebLinkAbout800 19TH ST_HMBP 5.27.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Lo�
Prevention Services
B A R R S F I _D
900 Truxtun Ave., Suite 210
F RE
Bakersfield, CA 93301
ARTM T
Tel.: (661) 326 -3979
�L ❑ CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME
Lo�
INSPECTION DATE
INSPECTION TIME
ADDRESS �_
HONE NO.
NO OF EMPLOYEES
XL ❑ VISIBLE ADDRESS
- 8«�
�L ❑ CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESc ID NUMBER
15 -021-
v
Section 1: Business Plan and Inventory Program
`R__ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
I ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
XL ❑ VISIBLE ADDRESS
�L ❑ 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
q9 ❑ EMERGENCY PROCEDURES ADEQUATE
9 ❑ CONTAINERS PROPERLY LABELED
�L ❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
�ana�ua
ANY HAZARDOUS WASTE ON SITE? ❑ YES )( NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # u mess i esponslble Party se Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05