HomeMy WebLinkAboutBUSINESS PLAN 5/29/2012Prevention ServicesI - a
UNIFIED PROGRAM INSPECTION CHECKLIST 1 B E R S F, e o 900Truxtun Ave., Suite 210
FIR r Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program /
Rrm4!r Tel.: (661) 326 -3979
V Fax: (661) 872 -2171
FAC LITY NAME
v C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
ADDRESS
1 8 -5.6
APPROPRIATE PERMIT ON HAND
PHONE N0. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
01707& n4d
15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
rG Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
Rf VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
r/I PROPER SEGREGATION OF MATERIAL
Zr VERIFICATION OF MSDS AVAILABILITY
W' VERIFICATION OF HAZ MAT TRAINING
f El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
a EMERGENCY PROCEDURES ADEQUATE
2f CONTAINERS PROPERLY LABELED
HOUSEKEEPING
0' FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
Knr-WJ
ANY HAZARDOUS WASTE ON SITE? YES fCf NO
EXPLAIN: aamalw
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
L &rde'4 5z<a J= C'
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05