HomeMy WebLinkAboutBUSINESS PLAN 4/22/2010UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plan and Inventory Program
)�' Prevention Services
R � R S 900 Truxtun Ave., Suite 210
FIR Bakersfield, CA 93301
AR Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
a io
ADDRESS
PHdNt NO.
O OF EMPLOYEES
1 -kA
1y 1 Y/S
..
FACILITY CO�CT
USINESS ID NUMBER
❑ VERIFICATION OF LOCATION
15-021 -
ree - 1
Business Plan and: "Inventory P "rogram
❑ ROUTINE ❑ COMBINED ❑ JO r,
INT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
BUSR1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
Ar'❑ CORRECT OCCUPANCY
0 ❑ VERIFICATION OF INVENTORY MATERIALS
[A/'❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
j
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
er ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES 1 NO
EXPLAIN:
QUESTION$, REGARDING
� "THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspect (Pease Print) Fire Pre nti n / f In / Shift of Site /Station # Busines it / R ponsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05