HomeMy WebLinkAbout2907 BRUNDAGE LANE_HMBP 6.2.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FACILITY NAME --.
INSPECTION DATE
INSPECTION TIME
Services LAp r, C.�
rjPrevention
900 Truxtun Ave., Suite 210
ADDRESS
Bakers eitt °CA 933.01
Tel.: 61) 326 -3979
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FACILITY NAME --.
INSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OF EMPLOYEES
❑
VISIBLE ADDRESS
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- ,koo 11 (4
VERIFICATION OF INVENTORY MATERIALS
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n 1 ae B�uslness Plan
and Inventory Program
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❑ MULTI - AGENCY ❑
ROUTINE ❑ COMBINED ❑ `JOINT AGENCY COMPLAINT ❑ RE- INSPECTION
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( C= Compliance) OPERATION
V= Violation
COMMENTS
tK ❑
APPROPRIATE PERMIT ON HAND
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Business 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
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VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
401'r Gum r -A S
❑ l,e HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? '?'YES l ❑ NO
EXPLAIN: C' 2 �:rL� Nrt-f- C-_
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 #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05