HomeMy WebLinkAbout2301 BAHAMAS DRIVE_HMBP KERN RADIOLOGY 5.13.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
R E R S F I D
FIR
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA-93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME II
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INSPECTION DATE
S''13 -1 ►
INSPECTION TIME
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ADDRESS I
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PHONE NO.
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FACILITY CONTACT /
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BUSINESS ID NUMBER
15 -021- (j0()S-2,%
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5"ROUTINE ■ COMBINED ■ JOINT AGENCY ■ ■ COMPLAINT RE-INSPECTIONK
C V ( C= Compliance OPERATION
V= Violation
COMMENTS
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ld' ❑ APPROPRIATE PERMIT ON HAND
❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
0 ""❑ CORRECT OCCUPANCY
GI/❑ VERIFICATION OF INVENTORY MATERIALS
CIL /❑ VERIFICATION OF QUANTITIES
F,,K ❑ VERIFICATION OF LOCATION
mom❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
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[3, u VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Mme❑ EMERGENCY PROCEDURES ADEQUATE
Mme❑ CONTAINERS PROPERLY LABELED
�❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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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 In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05