HomeMy WebLinkAboutBUSINESS PLAN 4/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
H.
900 T ruxtun Ave., Suite 210
"ARTH
Bakersfield, CA 93301
D
Tel.:. (661) 326 -3979
Fax: 872
NO OF EMPLOYEES
(661) -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONt NO.
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS
aq
FACILITY CONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
15 -021-
❑ PROPER SEGREGATION OF MATERIAL
}' $ect�on V Business Plawand Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AG A ..
ENCY ❑ COMPLAINT. ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation.
COMMENTS
l ❑ APPROPRIATE PERMIT ON HAND
oe
❑ Business PLAN CONTACT INFORMATION ACCURATE
Ef ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
Ud� ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
ef ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 6CNO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979.
-., �j & I/ 4 /7 4e �
Inspecto ( 1;asd Print) Fire Prevent n P` In / Shift of Site /Station # Busi Site / Responsib arty lease Pr' )
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05