HomeMy WebLinkAboutBUSINESS PLAN 6/11/2012V/
UNIFIED PROGRAM INSPECTION CHECKLIST';
SECTION 1: Business Plan and Inventory Program
FACILITY NAME "
r_GOIV\ tA,5'1o4- t Sj O (/-1
Prevention Services
R s F I E .D 900 Truxtun Ave., Suite 210JFIREBakersfield, CA 93301
AayA F Tel.: (661) 326 -3979
V Fax: (661) 872 -2171
FACILITY NAME "
r_GOIV\ tA,5'1o4- t Sj O (/-1
INSPECTION DATE
b`II --
INSPECTION TIME
ADDRESS
S
PHONE
3 CD ^ q -72
NO OF EMPLOYEES
FACILITY CONTACT
L s -Y
BUSINESS ID NUMBER
15 -021-
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
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
J® VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
Lg CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE,, OtYES NO
EXPLAIN: (Jy A !"_ D it
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
C\ e,rrz, 5SG L- L 1
Inspector (Please P t) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Respo
White — Prevention Services Yellow - Station Copy Pink — Business Copy
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FD 2155 (Rev. 09/05