HomeMy WebLinkAboutBUSINESS PLAN 5/23/20125"1 4 V? I P' \,
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention ServicestXrsrIe . D 900 'IYuxtun Ave., Suite 210
RE Bakersfield, CA 93301
IF. Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY
77
NAME
G/
INSPE TIO D INSPECTION TIME
ADDRESS P OrlENO. // O OF EMP YEES
VISIBLE ADDRESS
CORRECT OCCUPANCY
FACILITY CONTACT
I
BUSINESS ID NUMBER
15- 021 - /54-7 Z
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
APPROPRIATE PERMIT ON HAND
VEI BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
IV VERIFICATION OF LOCATION
IV PROPER SEGREGATION OF MATERIAL
VEI VERIFICATION OF MSDS AVAILABILITY
VEI VERIFICATION OF HAZ MAT TRAINING
Cev VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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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. 09105