HomeMy WebLinkAboutHMBP INSP 2018I
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• Prevention Services I
UNIFIE® PRO RA INSPECTI®N GHECKLIST s
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R r F D 900 Truxtun Ave:, Suite 210:
FRE Bakersfield, CA 93301
a" aRTR r Tel.: (661) 326 -3979
SECTION '1: Business Plan and Inventory Program
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Xr , Fax: (661) 872 -2171
FACILITY NAME
INSPECTION
INSPECTION TIME
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6,
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ADDRESS d
PHONE NO.
NO OF`EM�EOYEES"
FACILITY CONTACT ,r
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BUSINESS ID NUMBER
15-021-
V= Violation
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❑ ROUTINE ❑ COMBINED Q JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
V c= Compliance) OPERATION
C ®M M EN T S
V= Violation
❑ APPROPRIATE PERMIT ON HAND
❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE
e,' ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
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0 ❑ VERIFICATION OF INVENTORY MATERIALS
❑; VERIFICATION OF_.QUANTITIES
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❑ E1 VER- IFICATION OF LOCATION
CI ❑ .• PROPER.SEGREGATION OF MATERIAL
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❑/ ❑ VERIFICATION" OF MSDSAVAILABILITY
0 ❑ VERIFICATION` OF HAZ MAT TRAINING
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El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
[EV ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? , YES ❑ NO
EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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., $ sc Business Site / Responsi6le Party. (Please Print)`
Inspector Please Print) ire Prevention / 1. In / Shift of Site /Station #�~
White - Prevention Services - Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05