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HomeMy WebLinkAboutBUSINESS PLAN 6/18/2013UNIFIED PROGRAM INSPECTION CHECKLISTS prevention Services B E R S F, D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° ARTM Tel.: (661) 326 -3979 .. � Fax: (661) 872 -2171 FACILITY NAME _ Jam-- -- C INSP C ION A E INSPECTION TIME 1 3 5 0 t` Y� a. ADDRESS F PH", E O NO OF E PLOYEES FACILITY CONTAQW1 .. ���.�''� ' - BUSINESS ID NUMBER '00 15 -021- 6 - I 1 ROUTINE ❑ 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 ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING L ❑ 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? ❑ YES EXPLAIN; NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 MAO 9A&� 3 Inspector (Please Print) Fire Prevention / 1St / Shift of Site /Station # Business Site /Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05