HomeMy WebLinkAboutBUSINESS PLAN 4/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
.***" Prevention Services
A rR S F , „ 900 Tiuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
° aRria Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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a
❑
ADDRESS `
PHdNt NO.
O OF E LOYEES
s
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021-
G
❑
e n 1: Business In
and Plan uento Prk
Sectio � ogra`m
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
Zr
❑
APPROPRIATE PERMIT ON HAND
V13
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
4a
❑
VERIFICATION OF INVENTORY MATERIALS
t: �l A2 4/ s LIA17910 (Will 4_oftt-IA
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
./
llJ
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
Rd
❑
HOUSEKEEPING
❑
FIRE PROTECTION
5L
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES U60
QUESTIONS REGARDING �THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 `
Insp6ctor' (Please Print) ���Fir Prevention 11" In / Shift of Site /Station # amines site R�sl I � Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105