HomeMy WebLinkAboutBUSINESS PLAN 10/28/2008UNIFIED PROGRAM INSPECTION CHECKLIST~ A F R S e, ~'evention Services
,„ 900 Truxtun Ave., Suite 210
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S E C T I O N 1: B u s i n e s s P l a n a n d I n v e n t o ry P r o g r a m ~ i ARfM r Tel.: (661) 326-3979 ~
';~ ~ Fa~c: (661) 872-2171
FACILITY NAME
U' ' 2on ~ r~- ~esS INS ECTI DAT
(~0 iNSPECTION TI~ME` ~
S'
ADDRESS ^ /~ I
S6 ~J' ~.r-~ , HONE NO.
~-S`~ O OF EMPL YEES
FACILITY CONTACT BUSINESS ID NUMBER
15-021-Q~3~`7r
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
^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES ~v r 1 ~~ ~/~
e~., ~~.
^ 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 OIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979.
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Inspe tor (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. 09lOS