HomeMy WebLinkAboutBUSINESS PLAN 5/8/2012UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program ! u
FACILITY NAME
Preventicim Se vkes
R S F , > 0 900 Truxtun Ave., Suite 210
Fi ;rrJARFM Bakersfield, CA 93301
p Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME INSP T DATE INSPECTION TIME
COMMENTS
a19 1a 14_
ADDRESS PHONE NO. NO OF EMPLOYEES
i o 000 SI- t - a
FACILITY CONTACT BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021 -
C$
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
4a Business PLAN CONTACT INFORMATION ACCURATE
T VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
1A VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
ky VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Y4 EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? AYES NO
EXPLAIN: 1-48i= all
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
18 10/3 X - . 4 , //
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / esponsl le Part (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105