HomeMy WebLinkAbout205 RIO BRAVO Drive_HMBP 6.28.10WNW Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
"RTM 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME \ \
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INSPECTION DATE
INSPECTION TIME
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ADDRESS p
HONE NO.
( I - 32.? -`130-
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- 1(, L111
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ecfion 1 Busmess1-01an and Inventotl,5 12' am ,
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ROUTINE ❑' COMBINED ❑ JOINTAGENCY- ❑ .MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
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❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ 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 & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES � NO
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 I Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy I FD 2155 (Rev. 09/05