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HomeMy WebLinkAbout3720 EASTON DRIVE_HMBP 4.27.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and -inventory Program 1 "ARTMPrevention Services , ' 900-Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME L X1'0 M INSPECTI DATE 0+ INSPECTION TIME D ❑ 'o '.'_0 M ADDRESS /� � �� 5 HO!}� p�On - rA I ^� O OF PLOYEES FACILITY CONTACT BUSINESS ID NUMMBBEERL 15 -021 -. 223 ❑ Section 1: Business Plan a;nd-,Inventory Program OUTINE ❑' COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION L ANY HAZARDOUS WASTE ON SITE? ❑ YES EXPLAIN: QUESTION EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) lilre 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 V r C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ❑ 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 L ANY HAZARDOUS WASTE ON SITE? ❑ YES EXPLAIN: QUESTION EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) lilre 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