HomeMy WebLinkAboutBUSINESS PLAN 5/7/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
8 k S P t D 900 Truxtun Ave., Suite 210
F / RE Bakersfield, CA 93301
ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
s
INSPE TION D TE
U
INSPECTION TIME
d ' 4)0
ADDRESS �/
1 v. / 4- _
PHO ENO.
NO OF EM�OYEES
��J
FACILITY CONTACT
BUSINESS ID NUMBER
a 03 _ 2
15 -021-
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
Section 1: Business :Plan and Inventory Program
ROUTINE
❑
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
/
IX ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
El PROPER SEGREGATION OF MATERIAL
,,/
Il ❑ VERIFICATION OF MSDS AVAILABILITY
���d.," El VERIFICATION OF HAZ MAT TRAINING
UV' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
lfd.. ❑ EMERGENCY PROCEDURES ADEQUATE
IV ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES Lv' Nv
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1' In / Shift of 6te /Station # Busin e / Respons' arty (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05