HomeMy WebLinkAboutBUSINESS PLAN 5/13/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
B Q R 5 F 1 . D
900 Truxtun Ave., Suite 210
F/IPE
Bakersfield, CA 93301
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Tel.: (661) 326 -3979
O OF EMPYEES
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
/1 % I f
5; /, i� /0
ADDRESS �4,
e�- 7
O OF EMPYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
21
Section 1: fill nventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
C1<1 APPROPRIATE PERMIT ON HAND
Er ❑ Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
�,/❑
L CORRECT OCCUPANCY
-7 /❑
EY ❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
EK-13 VERIFICATION OF HAZ MAT TRAINING
L7 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/❑
C ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Printf Fire Prevention / 1" In / Shift of Site /Station # Business Site / R ponsible Pa Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05