HomeMy WebLinkAboutBUSINESS PLAN 5/27/2011UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
900'IYuxtun Ave., Suite 210
AR fM r Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
1 � Fax: (661) 872 -2171
FACILITY NAME
L". 'j, I 3 eoMMQni'c %tins
INSPECTION DA E
s /z � I
INSPECTION TIME
10!
ADDRESS
9,0 9.k3 17/7
PONE 140.
932L Ll5"z
NO OF EMPLOYEES
FACILITY CO TAC
)o
BUSINESS ID NUMBER
15- 021 - TM P o9 3
Section ,1 - Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
❑
❑
BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
❑
❑
VISIBLE ADDRESS
❑
❑
CORRECT OCCUPANCY
❑
❑
VERIFICATION OF INVENTORY MATERIALS
❑
❑
VERIFICATION OF QUANTITIES
❑
❑
VERIFICATION OF LOCATION
❑
❑
PROPER SEGREGATION OF MATERIAL
❑
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
VERIFICATION OF HAZ MAT TRAINING
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
❑
EMERGENCY PROCEDURES ADEQUATE
❑
❑
CONTAINERS PROPERLY LABELED
❑
❑
HOUSEKEEPING
❑
❑
FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 181 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