HomeMy WebLinkAboutBUSINESS PLAN 6/2/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:' Business Plan and Inventory Program
��e Prevention Services
11 A x P _ R . S—' -"r'� 900 Truxtuni Ave. , Suite 210
FE Bakersfield, CA 93301
oAR .m r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
IA e�N�2 0- V L � `�. �� GL
INSPECTION DATE
- 2 - �v
INSPECTION TIIM\E
f `J
ADDRESS
i,�; &z,) Ls-�J g33o
PHONE NO.
3 oo116
NO OF EMPLOYEES
3
1 N oe C&z
32 -
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
x s
"„ - .e. k `' : o Z� pectlousiness Plan and Inventory Program g g..A.. �� �.��.�a. ,
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
Q�
❑
VERIFICATION OF MSDS AVAILABILITY
09
❑
VERIFICATION OF HAZ MAT TRAINING
'r!l
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
0
❑
EMERGENCY PROCEDURES ADEQUATE
t_tf"
❑
CONTAINERS PROPERLY LABELED
&7
❑
HOUSEKEEPING
M
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:.
❑ YES 0!� NO
QUESTIONS REGARDING THIS IN ECTION? PILE SEC AT (661) 326 -3979
Business
0"k
Responsible Pa
White — Prevention Services Yellow - Station Copy - Pink — Business Copy FD 2155 (Rev. 09/05 .