HomeMy WebLinkAboutBUSINESS PLAN 5/12/2010I
I
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
rAR o 900 T=tun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CQNTACT
3USINESS 10 NUMBER
15- 021 -
Section 1: Business Plan and Inventory Program
UTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C =C " pliance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
J
❑
CORRECT OCCUPANCY
1
❑
VERIFICATION OF INVENTORY MATERIALS
1P
❑
VERIFICATION OF QUANTITIES
F
❑
VERIFICATION OF LOCATION
1—
❑
PROPER SEGREGATION OF MATERIAL
❑
P
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
1
OIL 1 3 (r t
❑
1P
EMERGENCY PROCEDURES ADEQUATE
To 0AM"i
❑
CONTAINERS PROPERLY LABELED
❑
❑
HOUSEKEEPING
❑
IF
FIRE PROTECTION
❑
(9
SITE DIAGRAM ADEQUATE & ON HAND
sN
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: `n/.A tA!V �� ►lam
fPYES ❑ NO
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QUESTIONS GAIRDIING THIS S)PECTION? PLEASE LL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / I" 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