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HomeMy WebLinkAboutBUSINESS PLAN 5/22/2012UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business PIan and Inventory Program FACILITY NAfAE / Prevention Services R S P l e D 900 Truxtun Ave., Suite 210 FIRE IR Bakersfield, CA 93301 D ° R rx Tel.: (661) 326 -3979 CORRECT OCCUPANCY Fax: (661) 872 -2171 FACILITY NAfAE / INSPECTION DATE INSPECTION TIME ADDRESS / / / S-0 PHONE NO. S-?-'/0 NO OF EMPLOYEES ZcadC w CORRECT OCCUPANCY FACILITY CONTACT BUSINESS ID NUMBER 5-021 DO Z /f y Yom' z5H 115 Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C b c C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND 2r Business PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY 2 VERIFICATION OF INVENTORY MATERIALS r' VERIFICATION OF QUANTITIES 21'— El VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL L7/ VERIFICATION OF MSDS AVAILABILITY c? VERIFICATION OF HAZ MAT TRAINING P'-'_ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES g EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED Ef HOUSEKEEPING E' El FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? A9/YES NO EXPLAIN: A 5 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05