HomeMy WebLinkAbout3713 Stine Road_HMBP 5.25.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A AliVE R S F li 0 900 Truxtun Ave., Suite 210
4 F / RE Bakersfield, CA 93301
ARYm f Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSP 6PTION DATE
INSPECTION TIME
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6
ADDRESS
3-713 I+ We r8 g3-2 -?A$
PHONE NO.
NO OF EMPLOYEES
O s
FACILITY CONTACT
BUSINESS ID NUMBER
.i1
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
11 ❑ APPROPRIATE PERMIT ON HAND
C,_e,- 11 Business PLAN CONTACT INFORMATION ACCURATE
LX ❑ VISIBLE ADDRESS
UK ❑ CORRECT OCCUPANCY
CY ❑ VERIFICATION OF INVENTORY MATERIALS
M" ❑ VERIFICATION OF QUANTITIES
GY ❑ VERIFICATION OF LOCATION
M" ❑ PROPER SEGREGATION OF MATERIAL
07 ❑ VERIFICATION OF MSDS AVAILABILITY
I" ❑ VERIFICATION OF HAZ MAT TRAINING
0' El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L7 ❑ EMERGENCY PROCEDURES ADEQUATE
LW ❑ CONTAINERS PROPERLY LABELED
[Ir ❑ HOUSEKEEPING
91' ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES 93 NO
EXPLAIN:
QUESTIONS REGARDING THIS (INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Ims / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05