HomeMy WebLinkAboutBUSINESS PLAN 5/23/2012UNIFIED PROGRAM INSPECTION CHECKLIST
Prevention Services
JARTMRsF 900 'IYuxtun Ave. , Suite 210
IRE Bakersfield, CA 93301
r Tel.: (661) 326 -3979SECTION1: Business Plan and Inventory Program Fax: (661) 872 -2171
FACILITY NAME
c
INSPECTION DATE
5--2-3 -(2-
INSPECTION TIME
3o M:,
ADDRESS
A SS fi u(
PHONE N0.
9 ;
zo
6 ( (
O OF EMI OYEES
10
FACILITY CONTACT 1 rA Fob G- v r 1
BUSINESS ID NUMBER
15- 021 - Lfaq GS"
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
Business 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
d j
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
Rer-WlJ
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN:
QUESTIONS REGARDING THIS IN ECTION? PLEASE CALL US AT (661) 326 -3979
1< —
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy ( FD 2155 (Rev. 09/05