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HomeMy WebLinkAbout621 ESPEE STREET_HMBP 5.21.10Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B E R s F. 0 900TruxtunAve., Suite 210 i/RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program if ° ARrM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME C iV.S% _011/!5 INSPECTION DATE INSPECTION TIME l�- ADDRESS 1/0 7 PHONE NO. 3XI- / 7?7z7 NO OF EMPLOYEES 2 FACILITY CONTACf BUSINESS ID NUMBER Section 1: Business Plawand' "Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND 2"­ ❑ Business PLAN CONTACT INFORMATION ACCURATE El" 1:1 VISIBLE ADDRESS E ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS Ems❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL — /❑ LE7/❑ VERIFICATION OF MSDS AVAILABILITY L1 ❑ VERIFICATION OF HAZ MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ul❑ ET / ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SIT ? EXPLAIN: �' 5 , / 1�;/� ❑ NO QUESTIONS RE ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 A ©,� 'er �� Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # usiness 1 / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05