HomeMy WebLinkAbout4321 STINE ROAD_HMBP 5.3.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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INSPECTION DATE
INSPECTION TIME
Prevention Services
B
900 Truxtun Ave., Suite 210
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Bakersfield, CA 93301
O OF EMPLOYEES
Tel.: (661) 326 -3979
Fax: '(661) 872 -2171
VISIBLE ADDRESS
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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C-1-//
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ADDRESS
PHONE NO.
O OF EMPLOYEES
❑
VISIBLE ADDRESS
FACILITY CONTACT
8USINESS ID NUMBER
15- 021 -
S_ectlon 1 Bti
slness Plan' and Inventory Program
❑ ROUTINE ❑ COMBINED . ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
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let' ❑
VERIFICATION OF MSDS AVAILABILITY
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Lr' ❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
VT ❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
P/ ❑
SITE DIAGRAM ADEQUATE 8 ON HAND
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ANY HAZARDOUS WASTE ON SITE? 1-J YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS SP TION? PLEASE CALL US AT (661) 326 -3979
Ins Ctor Please Print) V Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05