HomeMy WebLinkAbout3801 H STREET_HMBP 2010�S
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST _
B E R S F ;`� 900 Truxtun Ave., Suite 210
_ -- Fine Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM , T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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( C= Compliance OPERATION
V= Violation
INSPECTION DATE
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INSPECTION TIME
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ADDRESS /j
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PHOV NO. - �� I
NO OF,TPLOYEES`�
FACILITY COQ
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BUSINESS ID NUMBER
15 -021-
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VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
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❑ 'ROUTINE
❑= COMBINED' ❑ JOINT AGENCY -" "' �� -
_❑. MULTI- AGENCY ❑
COMPLAINT ❑ RE- INSPECTION
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( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
C
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
Q
❑
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
1 I
❑
PROPER SEGREGATION OF MATERIAL
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❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
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
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
QUEST I N REG DING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector le Me Print)
Fire Prevention / 1" In / Shift of Site /Station #
White - Prevention Services - Yellow - Station Copy
Business Site /Res o4r,1 Party ( t)
Pink - Business Copy
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FD 2155 (Rev. 09/05