HomeMy WebLinkAboutBUSINESS PLAN 5/7/2010Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
J�A R S F, 0 900 Truxtun Ave., Suite 210
IRE Bakersfield, CA 93301
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SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 f Fax: (661) 872 -2171
FACILITY NAME
Gct �r1
INSPEC ION ATE
/G
INSPECTION TIME
0 930
ADDRESS
6711 g'�ti . Si .
HONE NO.
&Z;>--32—,3/
NO OF EMPLOYEES
.�
FACILITY CONTACT
BUSINESS ID NUMBEIR
15 -021-
Section 1 BUsiness Plan and Inventory, Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
_/
IFS ❑ APPROPRIATE PERMIT ON HAND
PS ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
1:1 VISIBLE ADDRESS
R""
R ❑ CORRECT OCCUPANCY
Id 11 VERIFICATION OF INVENTORY MATERIALS
M- ❑ VERIFICATION OF QUANTITIES
(}_ ❑ VERIFICATION OF LOCATION
IJ_�// ? El PROPER SEGREGATION OF MATERIAL
00 ❑• VERIFICATION OF MSDS AVAILABILITY
na"" ❑ VERIFICATION OF HAZ MAT TRAINING
2 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
Ef ❑ SITE DIAGRAM ADEQUATE & ON HAND
�� ner -ours
ANY HAZARDOUS WASTE ON /SITE? IlS ES/ ❑ NO
EXPLAIN: 5A4-d11 9A2t11J4!6 ®]l 41440C Oil
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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In�tor (Please Print) Fire Prev tion / 1" In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05