HomeMy WebLinkAboutBUSINESS PLAN 3/19/2013 Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B !FhSrE R F r , D 900 Truxtun Ave., suite 10
Bak rsfield, CA 93301
SECTION 1 : Business Plan and Inven RrM r Tel.: (661) 326-3979
Inventory Program 3
Fax: (661) 872-2171
FACILITY NAME _ INSPECTION DATE INSPECTION TIME
z0iss.,A�j ()ie 1.3 P �O
ADDRESS PHONE NO. NO OF EMPLOYEES
&�-R3�r-
FACILITY CONTACT BUSINESS ID NUMBER
15-021-05
IV ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V ( G=Compliance OPERATION -
COMMENTS
V=Violation
❑ APPROPRIATE PERMIT ON HAND
ftd ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
M ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES '
IV ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
T/❑ VERIFICATION OF MSDS AVAILABILITY
G?00"v'❑ VERIFICATION OF HAZ MAT TRAINING
R ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE&ON HAND
KBF-013
ANY HAZARDOUS WASTE ON SITE? -YES ❑ NO
EXPLAIN- 01/
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
(ALLP-4
Inspector (Please Print) Fire Prevention/1St In/Shift of Site/Station# Busine s /Responsible Party(Please Print)
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Re 1.09/05