HomeMy WebLinkAbout5401 OFFICE PARK Drive_HMBP 5.26.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 9010 Truxtun Ave., Suite 210
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SECTION 1:. Business Plan and Inventory Program ° ARrM - Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAMES�
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INSPECTION DATE
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INSPECTION TIME
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NO EMPLOYEES
FACILITY CONTACT
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❑e ROUTINE ro -❑ COMBINED El"'-JOINT AGENCY' ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
r C= Compliance OPERATION.
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
❑
BUSRIeSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
16
❑
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
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❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
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❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
❑
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FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES Q<NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05