HomeMy WebLinkAbout5630 DISTRICT Boulevard_HMBP 6.21.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION. 1: Business Plan and Inventory Program
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Prevention Services
900 Truxtun Ave.,' Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979.
Fax: (661) 872 -2171
FACILITY NAME
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c C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
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1142
17b
ADDRESS
PHONE NO.
NO OF EMPLOYEES
6
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11
FACILITY CONTACT
❑
VERIFICATION OF INVENTORY MATERIALS
BUSINESS ID NUMBER
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15- 021 - oo )$1 L/
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Section 1: Business Plan and Inventory Program 9=0. =�R.
VROUTI ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT, , ❑ RE- INSPECTION
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v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
11
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
CRL
❑
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
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
5iL, ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
❑ YES 7-NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business e / esponsible Pa lease Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05