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Home My WebLink AboutHAZMAT INSP 4/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program H E R S F I D FilrE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME "e - 2/• /a /SIvU ADDRESS PHONE NO. NO OF EMPLOYEES ,s-r 32s- _7376 (p FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15-021 - Section T: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINTS ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUS(neSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION Rf ❑ PROPER SEGREGATION OF MATERIAL RJ J ❑ VERIFICATION OF MSDS AVAILABILITY Id ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: Q YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 -S. � :� X49— z.- V Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station # Business Site / Responsible Party (Please Print) Ktlt -buij White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05