HomeMy WebLinkAboutBUSINESS PLAN 5/25/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
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ADDRESS
HONE NO.
NO OF EMPLOYEES
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105
FACILITY CONTACT
3LMNESS ID NUMBER
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15 -021-
Section 1: Business Plan and 11,100, "Loaram
Ci ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
2( ❑ APPROPRIATE PERMIT ON HAND
I( ❑ BUSIYIeSS PLAN CONTACT INFORMATION ACCURATE
le ❑ VISIBLE ADDRESS
C4' ❑ CORRECT OCCUPANCY
EV' ❑ VERIFICATION OF INVENTORY MATERIALS
Er ❑ VERIFICATION OF QUANTITIES
Rr ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
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LAS ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
Ele 1:1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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11S ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
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I� ❑ HOUSEKEEPING
111 ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES CA 0
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1°' In / Shift of Site /Station # i ser Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05