HomeMy WebLinkAboutBUSINESS PLAN 2/11/2009UNIFIED PROGRAM INSPECTION CHEC!(LIST
SECTION 1: Business Plan and Inventory Program
~ Prevention Services
B A ~ R S F, . 0 900 Truxtun Ave., Suite 210
FiAE Bakersfield, CA 93301
'°RrM Tel.: (661) 326-3979
~ Fa~c: (661) 872-2171
FACILITY NAME
~ ` INSPECTION DATE
' INSPECTION TIME
~~5'~
7~a -z- Z-! . vs /
ADDRESS PHONE NO. O OF EMPLOYEES
~- 9 T~/ 3 23 - 7~ N~ Z
FACILITY CONTACT BUSINESS ID NUMBER
15-021-OG~~33
~ ~~L~
. Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( C=Compliance~ OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND
1.~ ^ BUSIf12SS FLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS '
~ ^ CORRECT OCCUPANCY
~ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES '
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
{~ O VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
L~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING .
^ FIRE PROTECTION
~ }z /t~Ce~ ~T
^ 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. Li ~JT'/ SZ~ Z- ~
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