HomeMy WebLinkAbout234 A STREET_HMBP CAL WATER 2.26.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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**W Prevention Services
R F R 5 F , ,, 900 717ruxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
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ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
4— •
PHONE NO.
NO OF E OYEES
FACILITY CONTA T
BUSINESS ID NUMBER
15- 021 -IJaj
;y Section 1 I Business Plan and InveQntot Program
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OUTINE ❑ COMBINED ❑ JOINT
AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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C= Compliance OPERATION
V= Violation
ITS
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APPROPRIATE PERMIT ON HAND
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BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
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VISIBLE ADDRESS
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CORRECT OCCUPANCY
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VERIFICATION OF INVENTORY MATERIALS
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VERIFICATION OF QUANTITIES
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VERIFICATION OF LOCATION
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PROPER SEGREGATION OF MATERIAL
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VERIFICATION OF MSDS AVAILABILITY
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VERIFICATION OF HAZ MAT TRAINING
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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EMERGENCY PROCEDURES ADEQUATE
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CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Fire Prevention / 1" In / Shift of Site /Station #
Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05