HomeMy WebLinkAbout6300 Cherry Blossom Court_HMBP 4.16.10f /:-p r
UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: - Business Plan and Inventory Program
4 Prevention Services
e E R S F, 0 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
ARrw f Tel.: (661),326 -3979
Fax: (661)'872-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
a
PHONE NO.
3 375
NO OF EMPLOYEES
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fxr 11 VERIFICATION OF INVENTORY MATERIALS
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FACILITY CONTACT
U (NESS ID NUM815 J► n
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Section `1: Business Plan :and Inventory 'Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
14 ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
pr ❑ CORRECT OCCUPANCY
fxr 11 VERIFICATION OF INVENTORY MATERIALS
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❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
V ❑ PROPER SEGREGATION OF MATERIAL
LZ- ❑ VERIFICATION OF MSDS AVAILABILITY
Yr ❑ VERIFICATION OF HAZ MAT TRAINING
9 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
P' ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES Id NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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