HomeMy WebLinkAboutBUSINESS PLAN 5/5/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME i t
Prevention Services
A A X E_R S F I E
F /RE
900 Truxtun Ave., Suite 21.0
CA 93301
XUBakersfield,
aRrM IIIT
Tel.: (661) 326 -3979
ADDRESS
Fax: (661) 872 -2171
FACILITY NAME i t
INSPECTION DATE
INSPECTION TIME
E `� )AtV
- Zb/ o
/ v
ADDRESS
PHONE NO.
NO OF EMPLOYEES
l� ❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
❑ VERIFICATION OF LOCATION
RMa
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+ t �� Section 1 �Buslness Plan and Inventory Pro ram : -Q e
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
pt ❑ APPROPRIATE PERMIT ON HAND
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
V�— ❑ VISIBLE ADDRESS
1it ❑ CORRECT OCCUPANCY
l� ❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
I_ ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
�1 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�— ❑ EMERGEI C,Y_PROCED RES ADEQUATE
01� ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ � FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE& ON HAND
ANY HAZARDOUS WASTE ON SITE? &4ES ❑ NO
EXPLAIN:
QUESTIONS /DING THIS PECTION? PLEASE CALL US AT (661) 326 -3979
Fire Prevention
/ Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy
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FD 2155 (Rev. 09/05