HomeMy WebLinkAbout5075 GOSFORD ROAD_HMBP 5.14.10UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
).a 900 Tiuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Business Plan and Inventory Program a Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
14- 10
INSPECTION TIME
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ADDRESS
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PHONE NO.
&(,t -28Z-3019
NO OF EMPLOYEES
5OO
FACILITY CONTACT /
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BUSINESS ID NUMBER or, t
15- 021 -
S i -L_ L C,
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V
Section 1,-.","Business Plan and "Inventory Program
' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
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C= Compliance OPERATION
V= Violation
COMMENTS
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❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
N,9'
❑
VERIFICATION OF LOCATION
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❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
P,
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
-C'
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
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❑
FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
KBF -6013
ANY HAZARDOUS, WASTE ON SITE? YES 11 NO
EXPLAIN: a', `( J - Y9 " , - 0 - G , C
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Busines
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05