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HomeMy WebLinkAbout4301 YEAGER WAY_HMBP 6.3.10Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST E E R 5 F I o 900 Truxtun Ave., suite 210 F /RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM I Tel.: Fax: (661) 872 -2171 FACILITY � E INSPECT ON D TE INSPE�TIpN TIME ADDRESS PHO E NO. NO OF EMPLOYEES q2>� -1 — FACILITY CONTACT BUSINESS ID NUMBER 15 -021 -Cz!:> 2 q4 Z Section 1: Business Plan and Inventory Program ZO ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V=Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ PK VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING r ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ F PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND KBF -6013 ANY HAZARD WASTE N SITE? ❑ YES /No EXPLAIN. �t QUESTI NS REGARDING THIS 114SARTI O N? 'PLEASE CALL US AT (661) 326 -3979 Inspector (PI se Pri Fire LL ention / I" In / Shift of Site /Station # Business Site / Responsibl arty lease Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05