HomeMy WebLinkAboutBUSINESS PLAN 3/3/2009UNIFIED PROGRAM INSPECTION CHECKLIST~~
• - - - --- ----- -- - -- - - - - - _ --- - - ----! ,
~ -- -- - - --- --- _- - --- ---. ~ -- - ___-
SECTION 1: Business Plan and Inventory Program ;;
Prevention Services
A F R 5 r ~ „ 900'IYuxtun Ave., Suite 210
i/RE Bakersfield, CA 93301
D AIPTM Tel.: (661) 326-3979
~ Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
~!, f~~K 'a.. c~~ t.- s,e ~~iyG -v 3-os~ 3-3 -~g ~o
ADDRESS HONE N0. O OF EMPLOYEES
't'Go ! ~~C~GGD O~z-~1o0~~ VNA'l4Krle-
FACILITY CONTACT BUSINESS ID NUMBER
,{j j ~,5 ~. a~ C' ~// 2v ~- 3/ v 3
~ U 15-021- ov'z.,FS ~(p
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINTAGENCY ^ MULTI-AGENCY O COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
~ ~ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE .+/
New ~/ior~
~CY ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY fvr C3, W L~ /S
(
C~ ^
/ VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
~ ^ VERIFICATION OF LOCATION
~C ^ PROPER SEGREGATION OF MATERIAL
~ ^ VERIFICATION OF MSDS AVAILABILITY '
j~ ^
/ VERIFICATION OF HAZ MAT TRAINING ,
~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
,P~ ^
/ EMERGENCY PROCEDURES ADEQUATE
~ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~O
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
r~,~~o-~ ~ fl~~~y ~3 ~
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