HomeMy WebLinkAbout4400 UNIVERSITY_HMBP 6.23.10UNIFIED PROGRAM INSPECTION CHECKLIST r Prevention Services
— _ D 900 Truxtun Ave., Suite 210
- _ — — - - - - -_— __- Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ' Tel.: (661) 326 -3979
Fax: (661) 872 -2171
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FACILITY NAME
INSPECTION DATE
INSPE TION TIME
COMMENTS
ADDRESS j / ?! „' w /
PHONE NO
���NO
NO OF EMPLOYEES
1
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
Section 1: ,Business Plan ano, Inventory Program
❑ ROUTINE _ ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
PL
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
Qi
❑
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
VL
❑
VERIFICATION OF QUANTITIES
�U /4 %
% T,� l�
$
❑
VERIFICATION OF LOCATION
14
❑
PROPER SEGREGATION OF MATERIAL
L
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
0-
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 0' NO
nor -ou i e
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector ( se Print) Fire Prevention / 1” In / Shift of Site /Station # B ss Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05