HomeMy WebLinkAboutBUSINESS PLAN 10/28/2008Prevention Services .
UNIFIED PROGRAM INSPECTION CHECKLIST~I H F R S ~,' „ 9007YuxtunAee., Suite2lo
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SECTION 1: Business Plan and Inventory Program ;' aRrM Tel.: (661) 326-3979
~ ~ Fax: (661) 872-2171
FACILITY NAME
~~ INSPECTION E
/~ ~~~ INSPECTION TIME
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~e
an o s , M
ADDRESS ~/ S' ~~~~` ~/.
6 T PHO_ NE NO. ^~~~/
O(~ O OF EM~ EES
FACILITY CONTACT
~~ ~ fv BUSINESS ID NUMBER
15-021- ~3C~
~ , ~ Section 1: Business Pian and Inventory Program
OUTINE ^ COMBINED . ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND
~. ^ BUSIfI@SS 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
~I ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS ASTE ON SITE? ~'ES ^ NO
EXPLAIN: ~' ~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~ ( ~[ ~ ~~.L~
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05