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HomeMy WebLinkAbout4408 WIBLE ROAD_HMBP 2.4.10UNIFIED PROGRAM INSPECTION CHECKLIST[j SECTION 1: Business Plan and Inventory Program Prevention Services > 900 Truxtun Ave., Suite 210 F / RE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME )94 Est l_�o C%—' INSPECTION DATE - tro INSPECTIONE l� ADDRESS j T P 4 � (N� L PHONE NO. / NO OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER Section 1: Business .Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS --S ❑ APPROPRIATE PERMIT ON HAND -'® ❑ Business PLAN CONTACT INFORMATION ACCURATE --® ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES -9 ❑ VERIFICATION OF LOCATION --9I ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING \�EtI ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES rJ ❑ EMERGENCY PROCEDURES ADEQUATE '2 ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION '1§ ❑ SITE DIAGRAM ADEQUATE & ON HAND Kbt -bUia ANY HAZARDOUS WASTE ON SITE? ❑ YES_'--L] NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 'b7 -yAT) ~1e. Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # usiness Site / Respo i le Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05