HomeMy WebLinkAboutBUSINESS PLAN 5/19/10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
ri E R SF I o 900 Truxtun Ave., Suite 210
F /RE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
S..
INSPECTION TIME
5
ADDRE S X11
PHONE NO.
NO OF EMPLOYEES
FACILI CONTACT
BUSINESS ID NUMBER
01- ❑ CORRECT OCCUPANCY
15 -021-
Section.1: ,Bus.iness Plan.and- invgntory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
w \ ❑ APPROPRIATE PERMIT ON HAND
{d. ❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
01- ❑ CORRECT OCCUPANCY
❑ ❑ VERIFICATION OF INVENTORY MATERIALS
❑ ❑ VERIFICATION OF QUANTITIES
❑ ❑ VERIFICATION OF LOCATION
❑ ❑ PROPER SEGREGATION OF MATERIAL
❑ ❑ VERIFICATION OF, SDS AVAILABILITY
❑ ❑ VERIFICATION OF HAZ MAT TRAINING
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ ❑ EMERGENCY PROCEDURES ADEQUATE
❑ ❑ CONTAINERS PROPERLY LABELED
&W, ❑ HOUSEKEEPING
dC ❑ FIRE PROTECTION
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE.ON SITE?
EXPLAIN:
❑ YES PYO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 dd�
I I i "
9�
Inspec (Please Print) ire Preven ion 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