HomeMy WebLinkAboutBUSINESS PLAN 5/16/2012UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION i : Business Dian and Inventory Program
FACILITY NA - -
01 a eoll T
Prevention Services
A o F R S F ,,x , r) 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NA - -
01 a eoll T
INSPECTION DATE
a2
INSPECT ON TIME
30
ADDRESS
o S-E-r nR.
PHONE NO.
5635
NO OF EMPLOYEES
I
FACILITY CO TACT
1
f
AN
BUSINESS ID NUMBER
15 02 1 (I 3
Section 1: Business Plan and Inventory Program
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
V VERIFICATION OF QUANTITIES
V VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
oK
VERIFICATION OF MSDS AVAILABILITY
IV VERIFICATION OF HAZ MAT TRAINING oQ
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
G/eEl HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND I
ANY HAZARDOUS WASTE ON SITE?
j
yEXPPLLAIIN:
a.j? 1—
YES ,<NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
14 / Z . rem l3 uaz4d I
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu arty (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05