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HomeMy WebLinkAbout2603 PANORAMA DRIVE_HMBP 3.9.11UNIFIED PROGRAM. INSPECTION. CHECKLIST SECTION 1: Business Plan. and Inventory Program Prevention Services rAR ._„ 900 Truxturi Ave., Suite 210 Bakersfield, CA 93301 T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE 3 -q z0 < < INSPECTION TIME s I ed ADDRESS � � PHONE NO. NO OF EMPLOYEES Inspector (Please Print) lld FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 1 3z (e O @CtiOfl 1 BIISlf1 @SS PIa178r1C1 In � r 0, Y @IltOr�/ PTOCjfatfl�z OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ . MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS �..t�•- 0-4 ❑ APPROPRIATE PERMIT ON HAND Inspector (Please Print) lld ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS po Lid ❑ CORRECT OCCUPANCY h �,c-i.4rd S ❑ VERIFICATION OF INVENTORY. MATERIALS ❑ VERIFICATION OF QUANTITIES LW ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY. —/ Ild ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES WoEMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION CY ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON -SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 zi �..t�•- 0-4 4 V+1 L.-,9 A(- t =040- J 16. Inspector (Please Print) Fire Prevention / P` 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