HomeMy WebLinkAboutBUSINESS PLAN6/8/2012V
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILJ,TY NAM E^
Prevention Services
B A - A R S F ,. D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
DEEEEARTM e Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILJ,TY NAM E^ NSPE TION DATE INSPECTION TIME
f- Forl l r D 2. iD oo
ADDRESS r /};
Gb 9 al,040/ w a
ONE N6.- NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15- 021 - 0,U ` 3. r
o S - ol
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
I APPROPRIATE PERMIT ON HAND / r.
BUSIneSS PLAN CONTACT INFORMATION ACCURATE' ./1
VISIBLE ADDRESS
r CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES y
VERIFICATION OF LOCATION R,
0j PROPER SEGREGATION OF MATERIAL
1
0 VERIFICATION OF MSDS AVAILABILITY hV
VERIFICATION OF HAZ MAT TRAINING
El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
11F EMERGENCY PROCEDURES ADEQUATE
y
OJ CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
j1
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES (SU NO
EXPLAIN: !` , n t A -Att-4 I
0
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Alm r Y rq IJ6 Wwg &14e
nspector (Ple se Print) Fire Prevention 11 In / 1hiift of Site /Station # Bu I If sponsitye Part s7
While — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
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