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HomeMy WebLinkAbout4701 STINE Road_HMBP 6.21.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and'Inventory Program Prevention Services rLAR1 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 6 at , 10 06 ADDRESS PHONE NO. NO OF EMPLOYEES Lf 701 3L+ -ate a S FACILITY CONTACT BUSINESS ID NUMBER ❑ VERIFICATION OF LOCATION 15 -021- 0c<j --T&j qyr :,;Section 1 :Business Plan and Inventory Program z -a 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 'b' ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY F ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES v ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? e�LYES ❑ NO EXPLAIN: •%o� --�— QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ST7 /3 13 A �11 // /slJal'YI -S'e Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Plea Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05