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HomeMy WebLinkAboutBUSINESS PLAN 12/28/2006- Prevention Services UNIFIED PROGRAM fNSPECTION CHEC.KLI~ST'' A ,,.~ F.R s ,: ,_ ~. -_ ~ 900 Truxtun Ave., Suite 210 " 1F,1Re _~ - Bakersfield, CA 93301 - SECTION -1: Business Plan and Inventory Program '°RT"' ~ Tei.: (661) 326-3979.' - Fax: (661) 872=2171 FACILITY NAME ~ / ~'[ Imo'( ~ ~ ~ ©~ ,/~ ~ /J/~ ~ ~ ~~/ i/C/1F./ INSPECTION DAT_ E INSPECTION TIME ADDRESS ~ ~ A y1 PHONE NO .r ~ _ /? NO OF EMPLOYEES FACILITY CONTACT B S ID NUMB15-~21- („)Q28 ~~ Section 1: -- -- Business Plan and Inventory Program... - ~ C. - -- --- - -- _- p ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT _ _-_ I ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation ~ COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND - ^ ^ BUSIf1eSS 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: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector lease Print) Fire Prevention / 1s` In /Shift of Site/Station # - Business Site /Responsible Party (Please Print) ^ YES ^ NO - White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ - FD 2155 (Rev. 09/05