HomeMy WebLinkAboutBUSINESS PLAN 3/6/2013 •
,
UNIFIED PR e,
Preventio
rv�
NI ON CHECKLIST ._.--.
P1 E R S F 7 D 900 Truxtun Ave., Suite 10
... ... ....
...
FARE Ba rs field, CA 93"301
. D `�A R rM 'T '
Ss a and Inventory Program Tel.: ( 6.1) 326=3979
`� -� Fax: (661) 872-217:1
. II
FACILITY NAME INSPECTION DATE INSPECTION TIME
i.
ADDRESS PHONE NO. NO OF EMPLOYEES
Y°d
Y'"i
FACILITY CONTACT BUSINESS ID NUMBER
a' 15-0.•21-
:
[?,/ROUTINE ❑ COMBINED ; 1 'JOI"NT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C=Compliance
C V OPERATION
COMMENTS
I
� I
V=Viola ion
❑ APPROPRIATE PERMIT ON HAND
's ❑ BUSIf1GSS'PLAN CONTACT INFORMATION ACCURATE
El El VISIBLE ADDRESS
❑ CORRECT'OCCUPANCY
C ' ❑ VERIFICATLON OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
, II
❑'.,,�= ❑ VERIFICATION OF LOCATION,
i �
,
I
"l ❑ PROPER SEGREGATION OF MATERIAL"
El" ❑ VERIFICATION OF MSDS AVAILABILITY
I ;
1:11,r ❑ VERIFICATION O"F�HAZ MAT TRAINING
. i
❑' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
s
C7 ❑ EMERGENCY PROCEDURES ADEQUATE
D CONTAINERS PROPERLY LABELED
i
❑` ❑ -HOUSEKEEPING
I
❑r,: ❑ FIRE"PROTECTION
• I
I ,
❑' ❑ SITE DIAGRAM ADEQUATE&ON HAND
I KBF-6 13
ANY HAZARDOUS WASTE ON SITE? ❑YES 11 NO
EXPLAIN:
I
I
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
. - I
Inspector (.Please Print) Fire Prevention/1st In/Shift of Site/Station# Business Site/Responsible Party(Please Print)
White—Prevention Services Yellow-Station Copy Pink Business Copy FD 2155 (Re 09/05