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HomeMy WebLinkAboutBUSINESS PLAN 3/13/2013 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST jf -- 900 Truxtun Ave., Suite,210 F. x s F r n.................................... ....... .w.:.:v...... F/RE Bakersfield CA 93301 SECTION 1 : Business Plan and Inv " rM '' Tel.: (661) 326-3979 Inventory Program Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF E LOYEES �6'35.7 60�3 FACILITY CONTACT BUSINESS ID NUMBER 15-021- 0_303 : W " ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V ( C®Compliance OPERATION COMMENTS V=Violation IV❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS Qlool❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES of ake'n 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 y ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION '`' ❑ SITE DIAGRAM ADEQUATE&ON HAND a KBF 6013 ANY HAZARDOUS WASTE ON SITE? ❑YES NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# 9 ne s Site Responsible Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (R v.09/05