HomeMy WebLinkAbout1525 columbus hmbp 3.13.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B fA!;R7r 1 0 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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1100
ADDRESS
'PHONE NO.
ENO OF EMPLOYEES
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FACILITY CONTACT
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BUSINESS ID NUMBER
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Section 1: Business Plan and Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
COMMENT S
V= Violation
U.0/0
APPROPRIATE PERMIT ON HAND
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BUSIC1eSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
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VERIFICATION OF QUANTITIES
900 ❑
VERIFICATION OF LOCATION
IQ/❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
13/ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�;�[E_IEMERGENCY
PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
Q/b
HOUSEKEEPING
FIRE PROTECTION
MOOOOF ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES No O
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (P ease Pri
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05