HomeMy WebLinkAbout325 ROBINSON_HMBP 3.5.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F t o 900 Truxtun Ave., Suite 210
*A F /RE Bakersfield, CA 93301
R rM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
AlIZE
INSPECTION DATE
INSPECTION TIME
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❑
ADDRESS
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HON NO.
NO OF ENS OYEES
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FACILITY CONTACT
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USSINESSS ID NUMBER
15 -021-
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Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
P�
❑
VERIFICATION OF LOCATION
C!(, ❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
5V
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
CK
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
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❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ;9- NO
EXPLAIN:
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 # Business Sit (f/ Responsible Party (Please Print)
I< 3/ -8720
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05