HomeMy WebLinkAboutBUSINESS PLAN 3/13/2013 Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST Ave.,00 Truxtun Avesuite
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SECTION 1 : Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME S7-4 CLr'40 P1z_C>DjS�_._m AX-0
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PHONE/c/ NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15-021-033 qc(
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V ( e°Compliance OPERATION
COMMENTS
V=Violation
Vol, ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
1K❑ 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
C) CONTAINERS PROPERLY LABELED ~
IV ❑ HOUSEKEEPING
❑ ❑ FIRE PROTECTION
❑ ❑ SITE DIAGRAM ADEQUATE&ON HAND - T
- - KBF-60 3
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/1"In/Shift of Site/Station# Business Site/Re sp nsible PaWy(Please Print)
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05