HomeMy WebLinkAboutBUSINESS PLAN 2/16/2012UNIFIED PROGRAM INSPECTION CHECKLIST
S CTION 1: Business Plan and ventory ProgramMrV1n9'(1*1fiA /19
FACILITY NAME
Prevention Services
B F. R s F, j. D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARYN Tel.: (661) 326 -3979
CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME
APPROPRIATE PERMIT ON HAND
27c e.
INSPECTION DATE
Z
INSPECTION TIME
13 3 0
ADDRESS
CORRECT OCCUPANCY
PHONE NO. NO OF EMPLOYEES
FACILI CONTACT
I
9 C3 VERIFICATION OF LOCATION
USINESS ID NUMBER
15 -021 q) 7
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
B/ VERIFICATION OF INVENTORY MATERIALS
V El VERIFICATION OF QUANTITIES
9 C3 VERIFICATION OF LOCATION
a PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Ea EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING yic yS v. CGi 8 c t / n f,
Ltd FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? 2<ES NO
EXPLAIN:
IJiOIU<<° I cS{ —C-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # BusIness-SiteTWesponsibTe Pa ease Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy
133 c
FD 2155 (Rev. 09/05