HomeMy WebLinkAboutBUSINESS PLAN 5/21/2008Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ~~
>~ R s F , n 900'lYuxtun Ave., Suite 210
FiAF Bakersfield, CA 93301
SECTION 1 : BUSIt1@SS Pian and Inv@t1tOP"~/ Program ABTIM Tel.: (661)326-3979
- ~ -Fax: (661) 872-2171
FACILITY NA
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~Ie~ %~L ~',¢}- - ~ L~ INSPECTION DATE INSPECTION TIME
M
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ADDRESS PHO
NE
N O. NO OF EMPLOYEES
21J~i~ 1X ,
/
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FACILITY CONTACT ~
/ BUSINESS ID NUMBER -
15-021- 0~2~35"~
Section 1: Business Plan and Inventory Program
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'~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V r C=Compliance OPERATION
V=Violation C O IVI M E N TS
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ _ BUSIrI@SS PLAN CONTACT INFORMATION ACCURATE n1
/~ ~® D
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ VERIFICATION OF INVENTORY MATERIALS
~
^
^
VERIFICATION OF QUANTITIES ^ /
V
~,/
^ ^ VERIFICATION OF LOCATION ~ J`
^ ^ PROPER SEGREGATION OF MATERIAL ~j
~v
^ ^ .VERIFICATION OF MSDS AVAILABILITY
^ ^ VERIFICATION OF HAZ MAT TRAINING ~ 4 ,
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ^ EMERGENCY PROCEDURES ADEQUATE
1 .
^ ^ - CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^ FIRE PROTECTION
i
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CIALL US AT (661) 326-3979
II~
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 - (Rev. 09!05
^ YES ^ NO
V