HomeMy WebLinkAboutHMBP 12/14/06II ...
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3301 COFFEE ROAD.
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program ?'
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E E R S F 1 D
F/RE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
r,~~2 T~ INSPECTION DATE
t ZZ~ t4
6 INSPECTION TIME
ADDRESS
330 l
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I~ D ~' PHONE NO.
-- NO.OF EMPLOYEES
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FACILITY CONTACT
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~~ „J BUSIN SS ID NUMBER
15-021- ,,~~
Section 1: Business Plan and.Inventory Program ~~
OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ ^ APPROPRIATE PERMIT ON HAND l.~- ISSCJf A ~~-tit r r~ '(U!5 /vt+.J SeZ
^ ^ BUSin2SS PLAN CONTACT INFORMATION ACCURATE . ` O~(,~~_ ~ O
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ VERIFICATION OF INVENTORY MATERIALS PiTy ~~A~ ~ C~C~C~-S
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^ ^ VERIFICATION OF QUANTITIES S~
^ ^ VERIFICATION OF LOCATION
~ ~ E c?F C/12 wl/~SI~! "~t.J~vwr'-c
^ ^ PROPER SEGREGATION.OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITY
^ ^ VERIFICATION OF HAZ MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .~
^ ^ EMERGENCY PROCEDURES ADEQUATE
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^ FIRE PROTECTION
^ ^ SITE DIAGRAM ADEQUATE 8 ON.HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
^ YES ~NO
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prevention / 1s' In I Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05