HomeMy WebLinkAboutBUSINESS PLAN 6/10/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
401W Prevention services
A R S F _, 900 Iruxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE N0.
NO, OF EMPLOYEES
Ai ❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
/% ;-7
457 t�
15 -021-
x
Section 1:� BusinessaPlan and Inuentolry Program.
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compiiance� OPERATION
V= Violation
COMMENTS
'61" ❑ APPROPRIATE PERMIT ON HAND
❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
_/ 11 CORRECT OCCUPANCY
Ai ❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
.B.- ❑ PROPER SEGREGATION OF MATERIAL
I< ❑ VERIFICATION OF MSDS AVAILABILITY
-Igr ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
-- ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
Af ❑ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? XYES ❑ NO
EXPLAIN: G✓�%
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector lease Print) c2rire Prevention / 1" In / Shift o Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services I Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05