HomeMy WebLinkAboutBUSINESS PLAN 5/15/2012UNIFIED PROGRAM INSPECTION CHECKLIST
SECTM 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
B K 8 R S P 1@ D 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301FIRE
aerx r Tel.: (661) 326 -3979
pa
Fax: (661) 872 -2171
FACILITY NAME
APPROPRIATE PERMIT ON HAND
C.
INSPECTION DATE INSPECTION TIME
lam% pa 3
ADDRESS
sOnI /
n
LU(,
PHONE NO.- ( NO OF EMPLOYEES
FACILITY ONTACT
a,
PROPER SEGREGATION OF MATERIAL
BUSINESS ID NUMBER
15-021-513X3
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C. N Q C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
C.
i d
G°. ', BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE
4g? VISIBLE ADDRESS
D CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
Ad VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
OOH VERIFICATION OF MSDS AVAILABILITY
GII VERIFICATION OF HAZ MAT TRAINING
r' VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURESr
6I1- EMERGENCY PROCEDURES ADEQUATE
G CONTAINERS PROPERLY LABELED
CRf HOUSEKEEPING
c[D -El FIRE PROTECTION
V—, SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? D YES NOi
EXPLAIN: GaSa\ `he
QUESTIONS REGARDING THIS INS. ECTION ?
IPLEASE
CALL US AT (661) 326 -3979
j,/ j /- a
Inspector (Please Print) - Fire P vention / 1" In / Shift ofSite /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05