HomeMy WebLinkAbout3031 WILSON ROAD_HMBP 2.4.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST [i B e R s F , 0 900Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program 'I "RrM ' Tel.: (661) 326 -3979
11 Fax: (661) 872 -2171
FACILITY NAME , ( � q�
' CW U�W�v
IN «^S�`PECTION DArTE
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INSPECTTIION TIME
551
ADDRESS
3o3i W1('5.0f'D
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021 J005- C 3
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❑
Section 1 Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT
AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
19
❑
VISIBLE ADDRESS
�I
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
!Q
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
"'91
❑
VERIFICATION OF HAZ MAT TRAINING
—0
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZA DOUS WASTE �OyNN SITE?
EXPLAIN: '_Lt " " 0
YES ❑ NO
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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