HomeMy WebLinkAboutBUSINESS PLAN 5/10/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F I D
F /RE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
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FACILITY NAMEA /
7
INSPECTION DATE�y
INSPECTION TIME
30
COMMENTS
ADDRESS
/ .
PHONE NO.
O OF EMP XEES
i 3
FACILITY CONTACT
BUSINESS ID NUMBER
❑
15- 021 - OCOSf:� Z
Secfiion 1: Business Plan and Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C =Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
K
❑
VERIFICATION OF QUANTITIES
�[
❑
VERIFICATION OF LOCATION
�i
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
'' 1
W a
0an
iK
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURE
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? /J e[� I�Y�S ,ISL NO
EXPLAIN: `- ` V A✓Gc�✓IV` C C� 1 '� C/� ✓I Z° /�� �G, , e�., d'io n p� V 0.'2 / ' (c.
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Pam�—F �/�
Inspector (Ple se Print) Fire Prevention / I" In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05