HomeMy WebLinkAboutBUSINESS PLA N5/25/2008Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B e R S F, D 9o0~-uxtunt~ve., Suite210
i/RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program '"~'"' ' T Tel.: (661) 326-3979
~ Fax: (661) 872-2171
FACILITY NAME
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~ '~ INSPECTION D~E
~ ~ J O 8 INSPECTION TIME
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S /T ~
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ADDRESS ~
2~~ 7 1~ s-~ cc~ HONE NO.
3.28 9'y~z O OF EMPLOYEES
FACILITY CONTACT
~ ~
~ BUSINESS ID NUMBER
ODo ~f~ ,r'
15-021-
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Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ~^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comp~iance~ OPERATION
V=Violation COMMENTS
Id' ^ APPROPRIATE PERMIT ON HAND
~ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
LY ~ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES I
^ VERIFICATION OF LOCATION
~ ^ PROPER SEGREGATION OF MATERIAL
^ L`f VERIFICATION OF MSDS AVAILABILITY ~ ~ , / ~ / ~~ o ~ Q' ~ s
'~-a hQ c!
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED ~.qM, ~
V
^ HOUSEKEEPING n ~
!/
If~ O FIRE PROTECTION
^ ~ SITE DIAGRAM ADEQUATE & ON HAND
nar-ouia
ANY HAZARDOUS WASTE ON SITE? ~^ YES NO ~
EXPLAIN: i'~ C~^~ C A~~ r~'' 2. ~f ~ior S~C~ ./~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~- P~ ~ .~~ ~ --
Inspector (Plea e Print) Fire Preve tion / 1°` In / Shift of Site/Station # Busi ite / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05