HomeMy WebLinkAboutBUSIENSS PLAN 5/13/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
B E R S F I B o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME NSPECTN DAT INSPECTION TIMEa`
N y/ . /(
y // ,/J LKd
ADDRESS H NE NO NO OF EMPLOYEES
G
0
V,?,/ S
FACILITY CONTACT BUSINESS ID NUMBER
Aa 106
15 -021-
Section 1: Business Plan and Inventory Program
EV ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V l !
C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
BUSIftesS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
IV VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MODS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
oe
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
IV FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES O
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
C .
Inspector (Please Printr Fire Prevention / 1" In / Shift of Site /Station # usiness Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05