HomeMy WebLinkAbout3604 Wilson Road_HMBP 5.17.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
E R S F, 0 900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
ARrN r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
47
IN SPECTION DATE
//7
INSPECTION TIME
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Ud ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
P ONE
O OF EMPLOYEES
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8 ❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
,�5D ge.
15 -021-
` Y Section 1'." 6 000iness Plan and- lnventory'Program '
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
Ud ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
11 CORRECT OCCUPANCY
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8 ❑ VERIFICATION OF INVENTORY MATERIALS
L2 ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
e ❑ PROPER SEGREGATION OF MATERIAL
M"' ❑ VERIFICATION OF MSDS AVAILABILITY
Bo ❑ VERIFICATION OF HAZ MAT TRAINING
L' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
LS ❑ EMERGENCY PROCEDURES ADEQUATE
L" ❑ CONTAINERS PROPERLY LABELED
1:1 HOUSEKEEPING
J
IJ ❑ FIRE PROTECTION
CIrY ❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? /24S ❑ 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 #
Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05