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HomeMy WebLinkAboutBUSINESS PLAN 11/30/2006- Prevention Services UNIFIED. PR.OGRAM~INSPECTION CHECKLIST: A r R S f, -„ 900TruxtunAve., suite 210 - F~RF Bakersfield, CA 93301" AR1IM t Tel.: (661) 326-3979 SECTION 1: Business Plan and Inventory Program . ~ •r ax: inn i ~ a i ~-~ i i 1 FACILITY NAME - - INSPECTION DATE - INSPECTION TIME ADDRESS 223 ~ . ~ ~ PHONE N0. S~ 3-08?8 NO OF EMPLOYEES z FACILITY CONTACT ~1GG~l/S Ji ~'~/1~/~ BUSINESS ID NUMBER 15-021- ~~g(~~ -- Section 1: Business Plan and Inventory Program` (~~ 14~' 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 ((,~ 2000 ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY d o VERIFICATION OF INVENTORY MATERIALS ~ ^ VERIFICATION OF QUANTITIES , ,/ ~ L d ^ VERIFICATION OF LOCATION , .. / ^ PROPER SEGREGATION OF MATERIAL LI J L ~J ^ VERIFICATION OF MSDS AVAILABILITY ~ - ~ / lJ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING " !A ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ^ YES G~NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 /~N I ~'~'' C-v4Lf1 C~~. 4 z~fj L ht,/~'s /~ ~G'~~~i~~ Inspector (Please Print) Fire Prevention / 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