HomeMy WebLinkAbout3801 AUBURN STREET_HMBP 3.7.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
B E? R SF I . D
900 Truxtun Ave., Suite 210
F /RE
Bakersfield, CA 93301
ARTM T
Tel.: (661) 326 -3979
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Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- /00(42S
Section 1: ',Bu'siness'Plan and Inventory Program
r /ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
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APPROPRIATE PERMIT ON HAND
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BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
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VISIBLE ADDRESS
❑
❑
CORRECT OCCUPANCY
❑
❑
VERIFICATION OF INVENTORY MATERIALS
C _
C. , l
❑
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VERIFICATION OF QUANTITIES
";F-
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VERIFICATION OF LOCATION
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PROPER SEGREGATION OF MATERIAL
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VERIFICATION OF MSDS AVAILABILITY
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VERIFICATION OF HAZ MAT TRAINING
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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EMERGENCY PROCEDURES ADEQUATE
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CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
K -DU IU
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
8.4
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Inspector (Please Print) Fire 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