HomeMy WebLinkAbout4321 Stine Road_HMBP 3.23.10A -9 V,
UNIFIED PROGRAM INSPECTION CHECKLISTI,
SECTION 1: Business Plan and Inventory Program
B B R �;E D
F/
ARFM r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
3-'Z3 -10
INSPECTION TIME
11 Zv
ADDRESS
ypNE NO.1 �5
O IF17PLOYEES
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FACILITY CONTACT
IT C/ -�E6�
USINESS ID NUMBER
15- 021- ()6Z(3 jd
Section 1: l3usiness Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
PR'
❑
APPROPRIATE PERMIT ON HAND
(�
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
l
[�I
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS
EXPLAIN:
TE ON SATE? '' ,dYES ❑ NO
TK. 1°/:�iL�
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1�` In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy
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FD 2155 (Rev. 09/05