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HomeMy WebLinkAboutBUSINESS PLAN 1/22/2013 i Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIS ` $ F � � � r D 900 Truxtun Ave., Suite 210 ...... ........................................ ....... ..::..... Bakersfield, 93301 M FIRE Bak sfield, CA 933 SECTION 1 : Business Plan and Inventory Program �'"��"' r Tel.: (661) 326-3979 rY g Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME -.-,/ OV" 2-2--/ / 14it 6 0 ! ADDREjS - — PHONE NO. NO OF EMPLOYEES I Y FACILITY CONTACT BUSINESS ID NUMBER C dr t,�� 'S�r� `� 15-021- � 1 s : r ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AC-ENCY ❑ COMPLAINT ❑ RE-INSPECTION C V ( C=Compliance OPERATION COMMENT S V=violation ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE I ❑ VISIBLE ADDRESS V000"El CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS M I VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL OKVERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ,per ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES P//"[,:] EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED f C.- co ❑ HOUSEKEEPING ❑ FIRE PROTECTION of ❑ SITE DIAGRAM ADEQUATE&ON HAND � V`top "e q C.. rl-C.- V%'\ &+C C/ KBF-6013 ANY HAZARDOUS WASTE ON SITE? 20<ES ❑ NO EXPLAIN: ;s fl QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 :j'o c1 Inspector (Please Print) Fire Prevention/1s'In/Shift of Site/Station# B sin s ite/ esponsible Pa (Please rint) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05