HomeMy WebLinkAboutBUSINESS PLAN 6/16/2010e
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F t o 900 Truxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
ARriN r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
(10 _149 /0
INSPECTION TIME
COMMENTS
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ADDRESS �a O � �
HONE NO.
3 Z. 1K 3765
N JEMPLOYE ES
FACILITY CONTACT
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USINESS ID NUMBER
15 -021-
sdetio,n 1: ,,,Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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l C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
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Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
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CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
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VERIFICATION OF LOCATION
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PROPER SEGREGATION OF MATERIAL
❑ ❑
VERIFICATION OF MSDS AVAILABILITY
❑
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VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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EMERGENCY PROCEDURES ADEQUATE
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CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HANDrj
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ANY HAZARDOUS WASTE E ON SITE? ES ❑ NQ
EXPLAIN: La j.0--, _p_"' FJ
QUESTIONS REGARDIN THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
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White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05