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HomeMy WebLinkAboutBUSINESS PLAN 5/20/2012Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST °N K N R 5_F_,_B_o 900TruxtunAve., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program A aRr I r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ID 11 Business PLAN CONTACT INFORMATION ACCURATE ADDRESS G 2Acqf1 .Jw PHONE NO. J 7 NO OF EMPLOYEES D FACILITY CONTACT BUSINESS ID NUMBER A 15 -021 - Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS ID", APPROPRIATE PERMIT ON HAND ID 11 Business PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS v CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS DO.' VERIFICATION OF QUANTITIES 191_ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY Y' VERIFICATION OF HAZ MAT TRAINING 12" VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE ED"' CONTAINERS PROPERLY LABELED 3 HOUSEKEEPING B/ FIRE PROTECTION D-/" SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ONO EXPLAIN QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busine ite / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05