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HomeMy WebLinkAboutBUSINESS PLAN 5/23/2012UNIFIED PROGRAM INSPECTION CHECKLIST o SECTION 1: Business Plan and Inventory Program J 3FACILITYME // J Prevention Services R a r: R S F r "a n 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 RT97 Tel.: (661) 326 -3979 V Fax: (661) 872 -2171 J 3FACILITYME // J INSPECTION DATE s/ INSPECTION TIME ' Ii 7 V v Z Sete. IV BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE C ADDRESS A 0 + _ Q PyQJJyyO NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 00,1,2 VERIFICATION OF QUANTITIES Section 1: Business Plan and Inventory Program bPkROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V Q C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND IV BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE EV VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION OMI PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY I! VERIFICATION OF HAZ MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE IV CONTAINERS PROPERLY LABELED HOUSEKEEPING EY FIRE PROTECTION oe Et/ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: YES P(N0 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 P4014 / LV./W-z- jgl 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