HomeMy WebLinkAbout516 Golden State Avenue_HMBP 5.14.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
ion Services
E R S F t o
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
ARTM t
Tel.: (661) 326 -3979
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Fax: (661) 872 -2171
FACILITY NAME
COMMENTS
INSPECTION D TE
INSPECTION TIME
ADDRESS
HO E N0.
NO OF MPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
G r - i -
15 -021-
d Section 1:. Business Plan_ an „d.lnventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
V-0 APPROPRIATE PERMIT ON HAND
[Y” ❑ Business PLAN CONTACT INFORMATION ACCURATE
11 VISIBLE ADDRESS
9 ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
_/
B ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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id / ❑ EMERGENCY PROCEDURES ADEQUATE
NkI ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
rcnr -OUrt
ANY HAZARDOUS WASTE ON SITE? El YES qi�'NO
EXPLAIN: -Ad � Ah21? 6,11
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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5A -eMrAn M aAr k 1,
Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Business Site /Res onsi I Pa Please Pri t
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05