HomeMy WebLinkAboutBUSINESS PLAN 5/23/2012UNlFlED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME o
Prevention Services
B a t: R S F , „ 900 Truxtun Ave., Suite 210 .
FIRE Bakersfield, CA 93301
ARTH Tel.: (661) 326 -3979
PHONE NO,
Fax: (661) 872 -2171
FACILITY NAME o
L , /,
I LJ APPROPRIATE PERMIT ON HAND
INSPECTION DATE
Z_ -
INSPECTION TIME
fo .1
ADDRESS
1301 S nee
PHONE NO, NO OF EMPLOYEES
z--
FACILITY CONTACT
VERIFICATION OF QUANTITIES
BUSINESS ID NUMBER
15-021 -
51-5 VERIFICATION OF LOCATION
1G PROPER SEGREGATION OF MATERIAL
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V Q C= Compliance OPERATION
V= Violation
COMMENTS
I LJ APPROPRIATE PERMIT ON HAND
LY BUSIneSS PLAN CONTACT INFORMATION ACCURATE
D--10 VISIBLE ADDRESS
2--T] CORRECT OCCUPANCY
2 VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
51-5 VERIFICATION OF LOCATION
1G PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
21 -"'El VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
2 / R EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
O HOUSEKEEPING
2"- FIRE PROTECTION
k],' SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES d0
EXPLAIN: `' v /f V"'AA ne_11
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" 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