HomeMy WebLinkAboutBUSINESS PLAN 6/18/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory.: Program
r10j
Prevention Services
900 Truxtun Ave.; Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 =2171
FACILITY NAME ,
&0 wes�el- Dra ^// r�
INSPECTION DATE
INSPECTION TIME
� «is
�? 4 s
�
ADDRESS /4/,3/ l tN J J • ,V ,
PHONE N� S19 / /
NO OF EMPLOYEES 0 (2)
22
FACILITY CONTACT
BUSINESS ID NUMBER
_�--
15- 021 -
W �� �. ° Seefiion 1. Business Plan and Inventory
XROUTINE -'❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
j�
❑
CORRECT OCCUPANCY
1K
❑
VERIFICATION OF INVENTORY MATERIALS
Ibl
❑
VERIFICATION OF QUANTITIES
Ur
❑
VERIFICATION OF LOCATION
`�
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I� ❑
EMERGENCY PROCEDURES ADEQUATE,
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? fYES p ❑ NO
EXPLAIN: ` h �,�{Tn.7 ate'" �lfjifi0�i�OL
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services . Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105