HomeMy WebLinkAboutBUSINESS PLAN 6/12/2013 Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTI 900 Truxtun Ave., Suite 210
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Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program r Tel.: (661) 326-3979
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Fax: (661) 872-2171
FACILITY NAME INSPECTION ATE INSPECTION TIME
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ADDRESS PHONE N NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C v ( e=compliance OPERATION COMMENTS
V=Violation
❑ APPROPRIATE PERMIT ON HAND
92 ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY -
9/❑ VERIFICATION OF INVENTORY MATERIALS
11 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 j
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE&ON HAND
KBF-013
ANY HAZARDOUS WASTE ON SITE? ❑YES )��No
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prevention/1St In/Shift of Site/Station# Business Site/Respo sible Party(Please rint)
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05