HomeMy WebLinkAboutBUSINESS PLAN 6/5/2012UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
H H R 5 F i 8 0 900 Truxtun Ave., Suite 210
PIPE Bakersfield, CA 93301
RtM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
V
INSPECTION DATE INSPECTION TIMq
ADDRESS
I
HONE N0, 0 EMPLOYEES
v Y `
FACILITY CONTACT
7L F F L be ±/-c-
BUSINESS ID NUMBER
15 -021- 03 2S8
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
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION n
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
nor -MIj
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN:
QUESTION7rING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1a' In / Shift of Site /Station # Bu
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05