HomeMy WebLinkAboutBUSINESS PLAN 11/30/2006UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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R E R S_F 1 D
F/RE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
~~ 5 ~~ ~ C.~ INSPECTION DATE
l (-3o-D~ INSPECTION TIME
1 ~sv~ i~l
ADDRESS
coo E}t51'c~rJ DI? ~~ ~ PHONE NO..
~/(0-236'7 NO OF EMPLOYEES
FACILITY CONTACT
~~~ ~~~ BUSINESS ID NUMBER
15-021- (~0 2~J
Section 1; Business Klan and Inventory Program ~ t/~~~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTIO
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
~/
Id ^ APPROPRIATE PERMIT ON HAND
^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY r ('Z ~ (~ 0 6 2006
~J V
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY V
~/
^ 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 SITE?
EXPLAIN
^ YES ENO
ner-outs
QUESTIONS REGAR NG THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / 1S1 In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/05