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HomeMy WebLinkAbout3580 WILSON ROAD_HMBP 5.17.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services 0 900 Truxtun Ave., Suite 210 azE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME .f e ❑ APPROPRIATE PERMIT ON HAND ADD SS ^ P ONE NO. (;/�/0 NO OF EMPLOYEES O (- $S o?/ 00 FACILITY CONTACT 3USINESS ID NUMBER 15-021 - ,4 4 VCJ•r S "ectipn 1.. 13usiness Pjart and Inventory Program . ROUTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS .f e ❑ APPROPRIATE PERMIT ON HAND 17 ❑ Business PLAN CONTACT INFORMATION ACCURATE 2" ❑ VISIBLE ADDRESS 0? ❑ CORRECT OCCUPANCY IBS ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION OW ❑ PROPER SEGREGATION OF MATERIAL L� ❑ VERIFICATION OF MSDS AVAILABILITY E, ' 11 VERIFICATION OF HAZ MAT TRAINING U7 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Vir ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING le ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES W NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector ease Print) Fire Prevention / 1" In / Shift of Site /Station # ness Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05