HomeMy WebLinkAboutBUSINESS PLAN 4/1/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
rART I 0 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPEC ION DATE
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INSPECTION TIME
ADDRESS
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PHONE ?
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NO OF EMPLOYEEFG
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FACILITY CONTACT
9111 1 P G. _
BUSINESS ID NUMBER
15 -021-
Section 1Buslriess Plan alnd Inventory Program
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❑ ROUTINE ❑ COMBINED 7 ,�_ . ... >� -:
❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
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( C= Compliance OPERATION
V= Violation
COMMENTS
10
❑
APPROPRIATE PERMIT ON HAND
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❑
Business PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
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❑
PROPER SEGREGATION OF MATERIAL
IF
❑
VERIFICATION OF MSDS AVAILABILITY
0
❑
VERIFICATION OF HAZ MAT TRAINING
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
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 HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN-
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspect (Please Print) 1011, Fire Prevention / 1s` In hilt of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05