HomeMy WebLinkAbout3400 WIBLE ROAD _HMBPs
UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program��}
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Prevention Services
900 Truxtun Ave., -Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax:' (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
_
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❑
❑
ADDRESS
RA
PHONE NO.
NO OF EMPLOYEES
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE'
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021-
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
11
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE'
❑
❑
VISIBLE ADDRESS
❑
❑
CORRECT OCCUPANCY
❑
❑
VERIFICATION OF INVENTORY MATERIALS
❑
❑
VERIFICATION OF QUANTITIES
❑
❑
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
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" 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