HomeMy WebLinkAboutBUSINESS PLAN 5/1/2012 (COPY)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: [business Plan and Inventory Program
FACILITY NAME
Prevention Services
P_ E R 5 F , _ „ 900 Truxtun Ave., Suite 210
FI;E Bakersfield, CA 93301
ARras r Tel.: (661) 326 -3979
V Fax: (661) 872 -2171
FACILITY NAME INSPECTION D TE
z
INSPECTION TIME
Lt 4_S7
ADDRESS
1 \ A-V c O156oc)
PH NO. • NO OF EMPLOYEES
FACILITY CONTACT 908fNESS ID NUMBER
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
Ig VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
jS5Jc
El VERIFICATION OF HAZ MAT TRAINING
1A VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
P EMERGENCY PROCEDURES ADEQUATE
la 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
Inspector (Please Print) Fire Prevention 11" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05