HomeMy WebLinkAboutBUSINESS PLAN 5/26/2015` Prevention Services
PROGRAM , 900 Tn hur Ave., Suite 210 I S UNIFIED INSPECTION CH C \ B ...
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D;ARTM Tel.: (661) 326 -3979
SECTION 1: Business Plan and Inventory Program F (661) 872 -2171
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INSPECTION DATE j INSPECTION TIME
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ADDRESS
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FACILITY CONTACT
BUSINESS, ID NUMBER,
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❑ JOINT AGENCY. ❑'..._
ROUTINE ❑ COMBINED MULTI- AGENCY ❑
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COMPLAINT ❑ RE- INSPECTION
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.OPRATIOC
COMMENTS
V= Violation;
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APPROPRIATE PERMIT ON HAND -
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Business PLAN CONTACT INFORMATION ACCURA E
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VISIBLE ADDRESS
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CORRECT OCCUPANCY
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_ -'VERIFICATION OF INVENTORY MATERIALS
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"VERIFICATION OF QUANTITIES
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VERIFICATION 0, OCATION
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PROPER SEGREGATION OF MATERIAL'
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VERIFICATION OF MSDS AVAILABILITY
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VERIFICATION MAT TRAINING
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OF HAZ
EY ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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EMERGENCY PROCEDURES ADEQUATE
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CONT`AINERS PROPERLY.- L "ABELED
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HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON= SITE`;?
EXPLAIN:
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QUESTIONS - REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 -
Inspector (Please Priri tn) $ Fire Prevention / 1s' In / Shift of Site /Station # Business Site / Resprrsible Party (Please Print}
White — Prevention Services Yellow - Station Copy Pink — Business Copy. FD 2155 (Rev. 09/05