HomeMy WebLinkAboutBUSINESS PALN 5/29/2012UNlFlED PROGRAM lNSPECTION CHECKLIST
SECTION 1: [business Plan and Inventory Program
FA LITY ME
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Prevention Services
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5 F , r ,_0 900 Truxtun Ave., Suite 210
RE Bakersfield, CA 93301
rN r Tel.: (661) 326 -3979
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Fax: (661) 872 -2171
FA LITY ME
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INSPECTION DATE
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INSPECTION TIME
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ADDRESSADDRESS PHONE NO. NO OF EMPLOYEES
61 3 96 yd)
0
FACILITY CONTACT BUSINESS ID NUMBER
0" 15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY ' MULTI - AGENCY COMPLAINT' RE- INSPECTION
C V Q C= Compliance OPERATION
V= Violation
COMMENTS
IG APPROPRIATE PERMIT ON HAND
0 Business PLAN CONTACT INFORMATION ACCURATE
2' VISIBLE ADDRESS
0 CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
0 VERIFICATION OF QUANTITIES
2( VERIFICATION OF LOCATION
Zf PROPER SEGREGATION OF MATERIAL
ITT VERIFICATION OF MSDS AVAILABILITY
Z VERIFICATION OF HAZ MAT TRAINING
12( VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
fe71 CONTAINERS PROPERLY LABELED
HOUSEKEEPING
Z FIRE PROTECTION
0 SITE DIAGRAM ADEQUATE a ON HAND
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN: r alwa n ep—d
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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