HomeMy WebLinkAboutBUSINESS PLAN 6/13/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
INSP% /TION TIME
900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
D ARTN T Tel.: (661) 326 -3979
CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME INSPECT ON DAT INSP% /TION TIME
ADDRESS
c,
PHONE NO.
y 7— 301
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15 -021-
CORRECT OCCUPANCY
C v c C= Compliance OPERATION
V= Violation
COMMENTS
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
1-18 C1 APPROPRIATE PERMIT ON HAND
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
O VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
12` VERIFICATION OF QUANTITIES
0' VERIFICATION OF LOCATION
E1 PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
2" VERIFICATION OF HAZ MAT TRAINING
X0'16 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
El, -- FIRE PROTECTION
0— SITE DIAGRAM ADEQUATE & ON HAND
1.1-WIJ
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
YES 10'-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 `
Inspector (Please rint) Fire Prevehtion / 1' 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