HomeMy WebLinkAbout3650 MING AVENUE_HMBP 5.3.11 (2)UNIFIED PROGRAM INSPECTION CHECKLIST �
Prevention Services
n a a s F 1 D 900 Truxtun Ave., Suite 210
FR`E - Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM r Tel.: (661) 326 -3979 _
Fax: (661) 872 -2171
FACILITY NAME I
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
2
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BUSIneSS PLAN CONTACT INFORMATION ACCURATE
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FACILITY CONTACTf
BUSINESS ID NUMBER
VISIBLE ADDRESS
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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
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
X❑
VERIFICATION'OF INVENTORY MATERIALS
\
❑
VERIFICATION OF QUANTITIES
J`
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
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❑
VERIFICATION OF 'MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I
❑,
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
-10
❑
HOUSEKEEPING
❑
FIRE PROTECTION
S rl �► I �� - �k�� ter, s�
❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? 4YES f ❑ NO
EXPLAIN: w Q 4r,
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 #
White - Prevention Services ' Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105