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HomeMy WebLinkAbout3211 RIO MIRADA DRIVE_HMBP 5.26.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rDA t .„ 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 3 26 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ❑ Business PLAN CONTACT INFORMATION ACCURATE ADDRESS �^ ' 1 U �) r q � c, 1( PHONE NO() ) M O OF_5 EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- 15 -021- m " Section 1 Bushes g s Plan and Inventory Prograrti_° ROUTINE e ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMITON HAND ©' ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS , El VERIFICATION OF QUANTITIES /� ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY I ❑ VERIFICATION OF HAZ MAT TRAINING b• ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES &1 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ *- CONTAINERS PROPERLY LABELED }� ❑ HOUSEKEEPING )19 ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES "-NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" [nil Shift of Site /Station # Business it White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05