HomeMy WebLinkAboutBUSINESS PLAN 4-2009Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST >i > R 5 F , 0 900'rruxtun Ave., Suite 210
IWFIR FE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program �+j ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
C, 38�l
INSPECTION DATE
LI 10q
INSPECTION TIME
11):6X)
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❑
❑
ADDRESS
3J `-z S-r / 2V
HONE NO. 7
77 AY7- Y'15
NO OF E YEES
FACILITY CONTACT
s+, A,
13USINESS ID NUMBER
15-021-(; 67__31(
Section 1: Business Plan'an.d 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
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
A
❑
VERIFICATION OF HAZ MAT TRAINING
,R,
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
A
❑
EMERGENCY PROCEDURES ADEQUATE
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❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
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❑
FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES g NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05