HomeMy WebLinkAboutBUISNESS PLAN 5/25/2012UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: easiness Plan and Inventory Program
FACILITY NAME
Prevention Services
R S F I E D 9001Yuxtun Ave., Suite 210E
FIRE Bakersfield, CA 93301
z• v Tel.: (661) 326 -3979
02"
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS ( PHONE NO.
2 as1
O OF EMPLOYEES
l V i l(Jt 9j7— JO 1 k
02"
FACILITY CONTACT BUSINESS ID NUMBER
15- 021 - 103$-x§-
V
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
5/ APPROPRIATE PERMIT ON HAND
02" Business PLAN CONTACT INFORMATION ACCURATE
V VISIBLE ADDRESS
CLV CORRECT OCCUPANCY
EU/ VERIFICATION OF INVENTORY MATERIALS
LEY VERIFICATION OF QUANTITIES
Ek' El VERIFICATION OF LOCATION
9" PROPER SEGREGATION OF MATERIAL
LtY VERIFICATION OF MSDS AVAILABILITY
LCY VERIFICATION OF HAZ MAT TRAINING
L VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURESLY/
L EMERGENCY PROCEDURES ADEQUATE
9Y 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)
lilI&I'M'
White – Prevention Services Yellow - Station Copy Pink – Business Copy FD 2155 (Rev. 09/05