HomeMy WebLinkAboutBUSINESS PLAN 5/17/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B_ rAR „ 900'IYuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
5 `P trAc-
INSPECTION DATE
5 =r) -N
INSPECTION TIME
I� rn
ADDRESS O `� \ \�
� -6\ d/1
HONE NO.
6L -� J 1 -O i b y
NO OF EMPLOYEES
FACILITY CONTACT
2 + J,
BUSINESS ID NUMBER
15 -021- CO3 ,)/ %
Section 1 Business Planand Inventory Program.
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑: COMPLAINT ❑ RE- INSPECTION .
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIIIeSS 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?
EXPLAIN:
❑ YES � NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 C
)z Inspector (Please Print) Fire PrevehlZin T1 In / Shift of Site /Station # Business Site /
White - Prevention Services Yellow - Station Copy Pink - Business Copy
)O /i,
FD 2155 (Rev. 09/05