HomeMy WebLinkAboutHMBP INSP 2018B w H R S F I.... D
FARE
ART M T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979.
Fax: (661) 872 -2171
FACILITY NAME fq /
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INSPECTI /ON� DATE
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INS_,PECCTION TIME
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ADDRESS �
PHONE NO.? � ^ 3 y yq
NO OF � LOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
jAme S 74
15 -021-
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance, OPERATION C O E T S
V= Violation
❑ APPROPRIATE PERMIT ON HAND
I ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
]A ❑ CORRECT OCCUPANCY
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❑ VERIFICATION OF INVENTORY MATERIALS
1P ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
K ❑ VERIFICATION OF MSDS AVAILABILITY
❑ ` VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
J ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND
KBF -6013
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Business Site / Re ponsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05