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
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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
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PROPER SEGREGATION OF MATERIAL .
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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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