HomeMy WebLinkAbout4030 Soranno Avenue_HMBP 5.17.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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AD S
HONE NO.
NO OF EMPLOYEES
D30 (o, on o AVe .
❑ VERIFICATION OF INVENTORY MATERIALS
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FACT ONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
15-021 -
l� ❑ PROPER SEGREGATION OF MATERIAL
:;Section, 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
[9"" ❑ VISIBLE ADDRESS
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,7,
LN ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
[V .El VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
l� ❑ PROPER SEGREGATION OF MATERIAL
113 ❑ VERIFICATION OF MSDS AVAILABILITY
IV ❑ VERIFICATION OF HAZ MAT TRAINING
93e ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
LK ❑ EMERGENCY PROCEDURES ADEQUATE
2" ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
ITS ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES U N0
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 'Is` In / Shift of Site /Station # &Le it Ible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05