HomeMy WebLinkAbout5060 CALIFORNIA AVENUE_HMBP 6.24.11r
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services
900 Truxtun Ave., Suite 2.10
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME i
INSPECTION DATE
INSPECTION TIME
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01/0, Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS f
P ONE NO.
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS
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FACILITY CONTACT
BUSINESS ID NUMBER
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15 -021-
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Section 1 Business Plan and Inventory Program
❑ ROUTINE ❑' COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation J
COMMENTS
VEI APPROPRIATE PERMIT ON HAND
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01/0, Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
f
Or ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OFiMSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
1K El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
lLY ❑ EMERGENCY PROCEDURES ADEQUATE
C� ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
II ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑YES 7 O
EXPLAIN:.
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 VO % f�o:ja
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # BWin6s "sLSife / R4spoiKsiblb Pao/ '(Please Priho
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White - Prevention Services Yellow - Station Copy Pink- Business Copy FD. 2155 (Rev. 09/05