HomeMy WebLinkAbout40 CHESTER AVENUE_HMBP 5.3.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
H A F R s t o
900 Truxturt Ave., Suite 210
FIRE
Bakersfield, CA 93301
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Tel.: (661) 326 -3979
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Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS I
1/0 ,°
PHONE NO.
No OF EMPLOYEES
-1)..21
FACILITY CONTACT //,,
BUSINESS ID NUMBER
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Section
1 Business
Plan, and Inventory Program "
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❑ ROUTINE ❑
COMBINED ❑
JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ INSPECTION
C
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C= Compliance OPERATION.
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
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❑
Business PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
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CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
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11
VERIFICATION OF QUANTITIES
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❑
VERIFICATION OF LOCATION
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❑
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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CJ
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
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❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES Ck NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Insp cior (Please Print) Fi r6ention / 1" W/ Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05