HomeMy WebLinkAboutBUSINESS PLAN 6/12/2012UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Pla"7d Inventory Program
Prevention Services
R A - C R S A ,. - n 900 Truxtun Ave., Suite 210
F/RB Bakersfield, CA 93301
oR ARTN Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
OA
ADDRESS PHONE NO. NO OF EMPLOYEES
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VISIBLE ADDRESS
FACILI CONTACT BUSINESS ID NUMBER
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15- 021 -
Section 1: Business Plan and Inventory Program
QROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
YJ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS y
fjo CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
GF VERIFICATION OF QUANTITIES
76 7
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
CZ VERIFICATION OF MSDS AVAILABILITY
1 VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
11 EMERGENCY PROCEDURES ADEQUATE
I CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN: 5
1 —
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector Please Print) Fire Prevention / 1°1 In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
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White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05