HomeMy WebLinkAboutBUSINESS PLAN 5/19/2010Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST; B e R s F , 0 900Truxtun Ave., Suite 210
-- — -- - - - - -- -- - -- -- - -- - - -�� AR ,M f Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program I Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE O.
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YLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021-
$e;ction 1.: Business Plan anted Inventory Program,;'
ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
Id
❑
BUSI11eSS PLAN CONTACT INFORMATION ACCURATE
M1
❑
VISIBLE ADDRESS
Of
❑
CORRECT OCCUPANCY
4J
El
VERIFICATION OF INVENTORY MATERIALS
C
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
pf
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? 5�YES ❑ NO
EXPLAIN: we,(��,
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fi Prevention / 1" In / Shift of Site /Station # USi nsible Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05