HomeMy WebLinkAboutBUSINESS PLAN 6/18/2013Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST.�, 900 Truxtun Ave., Suite 210
B A E R 8 F I D
FIRE Bakersfield, CA 93301
RTN
)JA7
RTN
Tel.: (661) 326-3979
SECTION 1: Business Plan- and Inventory Program
Fax: (661) 872-2171
FACILITY NAME
110, co
ADDRESS
INSPEC [ION DAT,
INSPECTION TIME
*3 0 A v\1
NO OF EMPLOYEES
PH E
FACILITY CONTACT.-%
DIL'L
BUSINESS ID NUMBER
15-021.
ROUTINE 1:1 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 MATERIALS
1:1 VERIFICATION OF QUANTITIES
1:1 VERIFICATION OF LOCATION
1:1 PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
1:1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
tic.. ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
1:1 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
A jD v
Inspector (Please Print) Fire Prevention 1st 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