HomeMy WebLinkAbout5205 WOODMERE DRIVE_HMBP 3.28.11UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
f F 1 900 Truxtun Ave., Suite 210
E n Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program TM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NA
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INSPEC ION DATE
1,
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INSPECTI /N�
ADDRESS
S 067 woo Imp
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NO OF E
FACILITY CONTACT � — //
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BUSINESS ID NUMBER
15 -021-
Section 1 Business Plan and Inventory. Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
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❑
APPROPRIATE PERMIT ON HAND
L /
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
/G
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES �(
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105