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HomeMy WebLinkAboutBUSINESS PLAN 5/17/2011UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program "Prevention Services ARTH 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME Lsk%'ks COMMENTS ❑ APPROPRIATE PERMIT ON HAND 5 , s INSPECTION DATE s -(-,- INSPECTION TIME I s I'V%. -. ADDRESS ❑ CORRECT OCCUPANCY PHONE NO. NO OF EMPLOYEES FACILITY CONTACT ❑ VERIFICATION OF LOCATION BUSINESS ID NUMBER 1' I I r -r -Q-n , I l i v� ❑ VERIFICATION OF HAZ MAT TRAINING 15 -021- O X14 9 Section 1 Business Plan and Inventory Program ak. . , a w ,..,. ❑ 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 ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ 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 SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ` Inspector (Please Print) Fire krdventio n / 1" In / Shift of Site /Station # us I e / R onsible Party (Predse Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05