HomeMy WebLinkAboutBUSINESS PLAN 4/29/2000UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
9 E R S F 1 D
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
IM DA E
INSPECTION TIME
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ADDRESS
PHO E NO.
NO OF EMPLOYEES
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VISIBLE ADDRESS & ((��
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
Section 10 Business Plan and Inventory Program
__T�_$QUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑ ❑
APPROPRIATE PERMIT ON HAND
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❑
Business PLAN CONTACT INFORMATION ACCURATE '
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❑
VISIBLE ADDRESS & ((��
❑
CORRECT OCCUPANCY
❑ ❑
VERIFICATION OF INVENTORY MATERIALS
❑ ❑
VERIFICATION OF QUANTITIES
❑ ❑
VERIFICATION OF LOCATION
❑ ❑
PROPER SEGREGATION OF MATERIAL
❑ ❑
VERIFICATION OF MSDS AVAILABILITY
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❑ ❑
VERIFICATION OF HAZ MAT TRAINING
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ ❑
EMERGENCY PROCEDURES ADEQUATE
❑ ❑
CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
❑ ❑
FIRE PROTECTION
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Parry (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B CARFM D
T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
COMMENTS
❑ ❑ APPROPRIATE PERMIT ON HAND
IN✓PECT ON
INSPECTION TIME
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\❑-) ❑ CORRECT OCCUPANCY
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ADDRESS
❑ ❑ VERIFICATION OF QUANTITIES
❑ ❑ VERIFICATION OF LOCATION
PHONE No
NO OF EMPLOYEES
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14"X /7
❑ ❑ VERIFICATION OF MSDS AVAILABILITY
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FACILITY_ CONTACT
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
BUSINESS ID NUMBER
❑ ❑ EMERGENCY PROCEDURES ADEQUATE
❑ ❑ CONTAINERS PROPERLY LABELED
15-021 -
❑1 ❑ FIRE PROTECTION
❑ ❑ . SITE DIAGRAM ADEQUATE & ON HAND
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❑
COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑
COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ ❑ APPROPRIATE PERMIT ON HAND
11 Business PLAN CONTACT INFORMATION ACCURATE )
Vv / C S
C
10 ❑ VISIBLE ADDRESS
\❑-) ❑ CORRECT OCCUPANCY
❑ ❑ VERIFICATION OF INVENTORY MATERIALS
❑ ❑ VERIFICATION OF QUANTITIES
❑ ❑ VERIFICATION OF LOCATION
❑ ❑ PROPER SEGREGATION OF MATERIAL
❑ ❑ VERIFICATION OF MSDS AVAILABILITY
(r✓� I fl
❑ ❑ VERIFICATION OF HAZ MAT TRAINING
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ ❑ EMERGENCY PROCEDURES ADEQUATE
❑ ❑ CONTAINERS PROPERLY LABELED
� ]D 1:1 HOUSEKEEPING
?
I
❑1 ❑ FIRE PROTECTION
❑ ❑ . SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
C. � ✓ern'' n�>;.i�
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
000 Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST "DE$FARTNE 900 Truxtun Ave., Suite 2 10
; Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program �T Tel.: (661) 326 - 3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
v
INSPECTION TIME
r 1 V rU t !Z E 1-•C 3 S
)1 -2 -'/M
❑ ❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES
Q 14,,-,X- 0
'❑ ❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
Section A,: 8.us'1nessmPlan and Inventory Program
-
❑_•ROUTINE 11 COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION'
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑ ❑
APPROPRIATE PERMIT ON HAND
'❑ ❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
�.9 ❑
VISIBLE ADDRESS L
�1
El, ❑
CORRECT OCCUPANCY
1'
❑ ❑
VERIFICATION OF INVENTORY MATERIALS
❑ ❑
VERIFICATION OF QUANTITIES
❑ ❑
VERIFICATION OF LOCATION
t
❑ ❑
PROPER SEGREGATION OF MATERIAL
❑ ❑
VERIFICATION OF MSDS AVAILABILITY
I
❑ ❑
VERIFICATION OF HAZ MAT TRAINING
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ ❑
EMERGENCY PROCEDURES ADEQUATE
fi
❑ ❑
CONTAINERS PROPERLY LABELED
❑ ❑
HOUSEKEEPING
❑ ❑
FIRE PROTECTION
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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