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HomeMy WebLinkAbout4100 MING AVENUE_HMBP 5.3.11I Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST JLARAmF D 900zruxtunAve., suite 210 Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program r ` Tel.: (661) 326 -3979 Fax: (661) 872 -2171 r. FACILITY NAME V INSPECTION DATE INSPECTION TIME Y'01 , 34,- V= Violation ADDRk,� , ,t PHONES NO. NO OF EMPLOYEES h t I!J ❑ FACILITY CONTACT ° BUSINESS ID NUMBER T)C,4:Pr-)41. Section 1:>`Busmess Plan'and4Inventory Program �ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance) OPERATION COMMENTS V= Violation ❑. APPROPRIATE PERMIT ON HAND I!J ❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE i ❑ VISIBLE ADDRESS i' ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS r ❑ VERIFICATION OF QUANTITIES ' ❑ VERIFICATION OF LOCATION r Wr ❑ PROPER SEGREGATION OF MATERIAL Cl VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ' ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING j ^( /] ❑ FIRE PROTECTION t ❑ SITE DIAGRAM ADEQUATE & ON HAND nor -Dula ANY HAZARDOUS WASTE ON SITE? -❑ YES NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site /Station # Business Site / Responsiblg arty Please Print) .White — Prevention Services Yellow - Station Copy Pink = Business Copy FD 2155 (Rev. 09/05