HomeMy WebLinkAboutBUSINESS PLAN 5/1/201251 x-77,
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business PIan and Inventory Program
FACILITY NAME
of Q.M0,'3 vCATh_ k
Prevention Services
R x R R S f I It .„ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
A R TO Tel.: (661) 326 -3979
CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME
of Q.M0,'3 vCATh_ k
INSPECTION DATE
ST I /!
INSPECTION TIME
ISty
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15- 021 - 3y6 q
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
f Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
Ok VERIFICATION OF QUANTITIES
RN VERIFICATION OF LOCATION
I1 PROPER SEGREGATION OF MATERIAL
LN VERIFICATION OF MSDS AVAILABILITY
b VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05