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HomeMy WebLinkAbout2201 UNION_HMBP 2012UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ' FACILITY NAME ,( 0CA T>IK I 1 s / Prevention Services R S F , F 900 Truxtun Ave., Suite 2100 IREJAIR Bakersfield, CA 93301 YM Y Tel.: (661) 326 -3979 V Fax: (661) 872 -2171 FACILITY NAME ,( 0CA T>IK I 1 s / INSPECTION DATE INSPECTION TIME VLI 0 ADDRESS 71,-2e::) 1 If PHONE NO. 617 -_%oW NO OF EMPLOYEES FACILITY CONTACT 11 1C -7 kAOU BUSINESS ID NUMBER 15 -021- q4q -? t l 6 l l zoo i, 1. VERIFICATION OF QUANTITIES Ir Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V c C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND @L, Business PLAN CONTACT INFORMATION ACCURATE 16-- VISIBLE ADDRESS K CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION C PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAZ MAT TRAINING 1A VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED HOUSEKEEPING FIRE PROTECTION 1 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES KNO EXPLAIN: ( (Sā€” I, I QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 CtiW- Sc Inspector (Please Print) Fire Prevention / 1'' In / Shift of Site /Station # 4 Business Site / Res ible Party (Please Print) White ā€” Prevention Services Yellow - Station Copy Pink ā€” Business Copy FD 2155 (Rev. 09/05