HomeMy WebLinkAbout3131 JEWETT Avenue_HMBP 12.1.09UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
a E R SF t o 900 Truxturt Ave., Suite 210
P/RE Bakersfield, CA 93301
ARfM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FAG I NAME 1
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INSPECTION DATE
INSPECTION TIME
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A RESS r
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HONE NO
J6 �; 2
NO OF EMPLOYEES
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FACIL
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BUSINESS ID NUMBER
15 -021- a p a96 y
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Business PLAN CONTACT INFORMATION ACCURATE
M1 Section 1: Business Plan and Inventory Program
ROUTINE El COMBINED ❑ JOINT AGENCY 11 MULTI-AGENCY 11 COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS -./
❑
❑
APPROPRIATE PERMIT ON HAND
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE
4 d
❑
❑
VISIBLE ADDRESS
o
0
❑
❑
CORRECT OCCUPANCY
❑
❑
VERIFICATION OF INVENTORY MATERIALS
��
b
❑
❑
VERIFICATION OF QUANTITIES
U
❑
❑
VERIFICATION OF LOCATION
O
d,
❑
❑
PROPER SEGREGATION OF MATERIAL
❑
❑
VERIFICATION OF MSDS AVAILABILITY
•
❑
VERIFICATION OF HAZ MAT TRAINING
•
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
❑
EMERGENCY PROCEDURES ADEQUATE
❑
❑
CONTAINERS PROPERLY LABELED
❑
❑
HOUSEKEEPING
❑
❑
FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDI G THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspect (Please Print) Fir revention / 1s` In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105