HomeMy WebLinkAboutBUSINESS PLAN 4/28/2010UNIFIED PROGRAM. INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
r0jPrevention Services
9001Yuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME a rL I r pV.S
INSPECTION DATE
INSPECTION TIME
14 -
/0
ADDRESS \
PHONE NO.
NO OF EMPLOYEES
00
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 -
❑ VERIFICATION OF LOCATION
i
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Section1 Business Plan�and Inventor Pro
y ,gram
ROUTINE ❑ COMBINED" ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ ARE- INSPECTION
C V \ C= Compliance` OPERATION
V= Violation /
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIIIesS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLEADDRESS
❑ 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
Inspector (Please Print) Fire Prevention / 1" 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