HomeMy WebLinkAbout2130 UNION_HMBP 5.9.12UNIFIED PROGRAM INSPECTION CHECKLIST .
SECTION 1: Business Plan and Inventory Program 3
FACILITY NAME
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Prevention Services
B E a s F ,.F D 900 Truxtun Ave., Suite 210
FiJFE Bakersfield, CA 93301
ARrN r Tel.: (661) 326 -3979
V Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
5-.:- -Iz
INSPECTION TIME
ADDRESS
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PHONE NO.
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NO OF EMPLOYEES
5
FACILITY CONTACT BUSINESS ID NUMBER
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Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C b C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
I PROPER SEGREGATION OF MATERIAL
If VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
1( SITE DIAGRAM ADEQUATE S ON HAND
ANY HAZARDOUS WASTE ON SITE? YES kN0
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Intrry :1. S'G
Inspector (Pleas Print) Fire Prevention / 1" In / Shift of Site /Station #
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White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05