HomeMy WebLinkAboutBUSINESS PLAN 6/16/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
fARrN OW Prevention Services
s e t ,_ ,_, 900 Tiuxtun Ave., Suite 210
RE Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 4171
FACILITY NAM ( 1 (
�J
INSPECTION DATE
INSPECTION TIME
L7 ❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
O' +►�
PHONE
3 2
NO OF E YEES
FACILITY CONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF QUANTITIES
t Section 1 ¢Business Plan andInventMoR rogr am
PookUTINE ❑ COMBINED ❑ JOINTeAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
2""'11
APPROPRIATE PERMIT ON HAND
L7 ❑ Business PLAN CONTACT INFORMATION ACCURATE
11 VISIBLE ADDRESS
Er"'
E ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
11 VERIFICATION OF LOCATION
��—
IJ ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
® -_❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
2' ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? l2`YES ❑ NO
EXPLAIN:
QUEST S R ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
ns ector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business`Site / ResponibTe Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05