HomeMy WebLinkAboutBUSINESS PLAN (NO DATE)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
6 1O/ -.Fk3
PHONE NO.
NO OF E OYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15-021- 0092 �4
Section 1: Business Plan an Inventory Program
NROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v \ C= Compliance OPERATION
V= Violation
COMMENTS
2-"'
2 ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
C'❑ PROPER SEGREGATION OF MATERIAL
ET"'-El VERIFICATION OF MSDS AVAILABILITY
2T ❑ VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/❑
E ❑ EMERGENCY PROCEDURES ADEQUATE
Pr ❑ CONTAINERS PROPERLY LABELED
HOUSEKEEPING
—/❑
LT ❑ FIRE PROTECTION
2-11 SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES Er—N-0
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspect r (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Bus s Site / es le Party (Please Print)
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White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05