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HomeMy WebLinkAbout5501 ALDRIN Court_HMBP 6.21.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program R_ MTN Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME L � ❑ ADDRESS PHONE NO. NO OF EMPLOYEES ❑ Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER 15 -021- OW-jtg z L_ -__f� G��/L CORRECT OCCUPANCY �a ; Section 1: Business Plan and Inventory Program "� ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V r C= Compliance OPERATION l V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND O ❑ Business PLAN CONTACT INFORMATION ACCURATE of.-- ❑ VISIBLE ADDRESS RQ ❑ CORRECT OCCUPANCY V ❑. VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ 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 ❑ CONTAINERS PROPERLY LABELED L ❑ HOUSEKEEPING 5k ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE &.ON HAND ANY HAZARDOUS WASTE .ON SITE? ❑ YES Vt-NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ST 13 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