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HomeMy WebLinkAboutBUSINESS PLAN 1/22/2013 7SF Prev ention Services UNIFIED PROGRAM INSPECTION CHECKLISTI 900 Truxtun Ave., Suite 210 er F Bak sfield, CA 93301 SECTION 1 : Business Plan and Invento Pro ra " ' r Tel.: (661) 326-3979 Inventory g Fax: (661) 872-2171 FACILITY NAME - i - INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES Cq OC, Lj �. a. ems. FACILITY CONTACT BUSINESS ID NUMBER 1/ L/ 15-021- , I�KROUTINE ❑ COMBINED ❑ JOINT AGENCY'.. ❑...:MULTI-A:.,:ENCY^.:".. ❑ COMP .... :,: LAINT ❑ RE-INSPECTION C v C=Compliance OPERATION COMMENT S V=Violation ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY EK /P VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL oe ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING pT VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED El ❑ HOUSEKEEPING fff I ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE&ON HAND � _.....__..__.�..._. _.__..._.._._.o-e_... K3F-013 ANY HAZ OUS WASTE ON SITE? ❑YES �O EXPLAIN. C i QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 3 6-3979 S-C9 r Inspector (Please Print) Fire Prevention/1s'In/Shift of Site/Station# Business Site/Respo ible Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (R v.09/05