HomeMy WebLinkAboutBUSINESS PLAN 5/16/2012UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plain and Inventory Program
FACILITY NAME
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Prevention Services
A ., r R S F I . „ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTH Tel.: (661) 326 -3979
PHONE
31/0 .
Fax: (661) 872 -2171
FACILITY NAME
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COMMENTS
INSP CTION DATE
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INSPECTION TIME
115-00
ADDRESS PHONE
31/0 .
NO OF EMPLOYEES
FACILITY CONTACT
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BUSINESS ID NUMBER
15-021 -
LY VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY 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
UK CORRECT OCCUPANCY
V0 VERIFICATION OF INVENTORY MATERIALS
VI-I VERIFICATION OF QUANTITIES
LY VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
040 HOUSEKEEPING
V/110 FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
YES NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Pal 1 ',#"P1't Z 13A
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # ness ite / esponsible Party (Please Print)
While - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05