HomeMy WebLinkAboutBUSINESS PLAN 6/20/2012c
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION i : Business Plan and Inventory Progra.rn
FACILITY NAME /
Prevention Services
ff K L R S 900 Truxtun Ave., Suite 210
E Bakersfield, CA 93301
A tw Tel.: (661) 326 -3979
CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME / INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
Q 00
CORRECT OCCUPANCY
FACILITY CONTACT
7Z-4
BUSINESS ID NUMBER
1
VERIFICATION OF QUANTITIES
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
21-90 APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
Q J VISIBLE ADDRESS
tf"
CORRECT OCCUPANCY
A[Y VERIFICATION OF INVENTORY MATERIALS
l
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
r
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
ANY HAZARDOUS WASTE ON SIDE ? / YES NO
EXPLAIN: '1JC
QUEST OPTS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
60JL'J-r"1 -j /I A
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05