HomeMy WebLinkAboutBUSINESS PLAN 2/26/2010UNIFIED PROGRAM `INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B_ Ej 900 Truxturt Ave., -Suite 210
Bakersfield, CA 93301
D Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACT NAME
C AA S2 KM
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF PLOYEES
❑ ❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
1'41
VISIBLE ADDRESS
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - C1(j( 1qz
.,: Section 1 :Business Plan anda,lnventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑ ❑
APPROPRIATE PERMIT ON HAND
❑ ❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑ ❑
VERIFICATION OF INVENTORY MATERIAL
❑ ❑
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: / V n 1
❑ YES ❑ NO
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy
FD 2155 (Rev. 09/05