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HomeMy WebLinkAboutHMBP 2018Prevention Services UNIFIED PROG`RAIUI NSPECT ON CHECKLIST B � .E R-j 900 �'ruxtun Ave., Suite 210 FoRf .: Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program; ,�ARrM r Tel.: (661) 326 -979 Fax: (661) 872 -2171 FACILITY NAME S 4 B xr # A INSPECTION DATE :� `,�,. : r T , .t' . e INSPECTION TIME dam' 6 L ADDRESS` ° g y PHONE NO. NO OF EMPLOYEES sA� FACILITY CONTACT BUSINESS ID NUMBER 15-021 - ... .., ., -... v ,, 5 "s .a. :io � ,..:'._. �#`,�.� ,t wix ''.,' ':::�. i , .v «••..; t,' "'.',a: r ai - -.: �d. ,i >.. >...qs' ,: . . '.5" .... a . f. '�'�. ,'3'a .. i _... _.. Y= ,, i .z ._S � ... .:c ...,?:,... a: :e.. ✓. .. .. ,:, i-• ., m. `wvn :. i '4 ..z?:_:e Y, ...... .. ,..a. _. ...�_. .• .... S'r C..f � r-.:,* � :n.ursY'.a. � .. x .f'._ 'f .. � -..,.. � w., h, rv:, fv .. .. ,. uw. *c.,. ....r`5 x .., .!" ... - t . .a _ ♦u , i � a�Sx. - x ..b �. r v.. ,.. ?r '}f• .+, tlY F1 "R t ... g n ,.F ( . i1S.. )■ �.>. ^L .. � ..,. rX.,,,..��r�... tS 31M{ ��S °^wKd ..x.. y� yy :... f.: eM.iv. r. ... t ,: . ,, ..;k "w,... • z. ..� ..I +... .+^.:.:a .�.. r.. '. sr....!.: r. .(?'�.. a✓.... .. �% .R.. rn.:.. - <L:? -e:- �. 'L'T .L' .. A3i, ..;iL2.,.: _ ,« 1 . -� ..re:.. NR. Y ! 1... ,., ,. m:{.Y. .� ,. I3 ,. � z`?> ,. <1r.. a :. ?3 .'1 Y. ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V / C= Compliance, OPLE RATI ON l V =Violation COMMENTS Cl ❑ APPROPRIATE PERMIT ON HAND El t ❑ Business PLAN CONTACT INFORMATION ACCURATE Q. ❑ VISIBLE ADDRESS Lk' ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 3• ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION El ❑ PROPER SEGREGATION OF MATERIAL El ❑ VERIFICATION OF MSDS AVAILABILITY ,g r` Q ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED CT ❑ HOUSEKEEPING r, I ❑ FIRE PROTECTION 0 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES 61, NO CYDI AM- ' QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 r Y/ r &A" tvAl"zi,2 CA /4 Inspector. (Please Print) Fire Prevention / 15` in / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105