HomeMy WebLinkAboutBUSINESS PLAN 5/23/2012UNIFIED PROGRAM INSPECTION CHECKLISTi
Prevention Services
JARrNRsF , P D 900 Truxtun Ave., Suite 210
F/RB Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program II - r Tel.. (661) 326 -3979
l! /` Fax: (661) 872 -2171
FACILITY NAME
S, Io S r} --' ,,
INSPECTION DATE
23- i Z
INSPECTION TIME
ADDRESS
IN t7 5uc e(
PHONE NO.
it -0.Cq
NO OF EMPLOYEES
dNC
FACILITY CONTACT BUSINESS ID NUMBER
15 -021- L4 y6a0
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
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
Kvwuia
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # t-es es lease PrIM
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05