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HomeMy WebLinkAbout3320 MADRID_HMBP 5.12.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rA _ _D 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 r Tel.: (661) 326-3979 Fax: (661) 872 -2171 FACILITY NAME rat L t� INSPECTION DATE :� - I fv INSPECTION TIME cdou ADDRESS , PHONE NO. NO OF EMPLOYEES APPROPRIATE PERMIT ON HAND FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 6- ,SectlQn Business Plan, and Inventory Program El 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 ❑ VISIBLE ADDRESS �rT ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES �S ❑ VERIFICATION OF LOCATION ❑ 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 ADhbu 1J ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES / NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 2220 f,©t— 56 0- 7 /. Inspector (PI se Print) Fire Prevention / 151 In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05