HomeMy WebLinkAbout7001 CAMINO GRANDE_HMBP 4.16.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R SF I D 900 Truxtun Ave., Suite 210
ngE Bakersfield, CA 93301
�Rrlu r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
,s�j C3 - GIN
INSPECTION DATE
—(6 —�0
INSPECTION TIME
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ADDRESS O ��h` /`� ����'HONE
�NO. _161 O O
NO OF EMPLOYEES
FACILITY CONTACT \ /
T)V� ����11 -�74i ���.5��
US,•IINESS ID NUMBER
15 -021- I Sp 2
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Secfign 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED 71 JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
i- ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ 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
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIISN1SPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1s1 In / Shift of Site /Station # Business Site esponsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05