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
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INSPECTION TIME
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ADDRESS � �
PHONE NO.
NO OF EMPLOYEES
Inspector (Please Print)
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FACILITY CONTACT
BUSINESS ID NUMBER
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OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ . MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( C= Compliance OPERATION
V= Violation
COMMENTS
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❑
APPROPRIATE PERMIT ON HAND
Inspector (Please Print)
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❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
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❑
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY. MATERIALS
❑
VERIFICATION OF QUANTITIES
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❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY.
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❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
WoEMERGENCY
PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
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❑
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 / 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