HomeMy WebLinkAboutBUSINESS PLAN & INVENTORY 1-23-2014ItSFERLD FIRE DEPT
a P Pr 'ention Services
UNIFIED PROGRAM INSPECTION CH C LASTS �i 900 Truxtun Ave., Suite 210
VAJ r l ga ers e fi ld CA 93301
SECTION 1 ' Business Plan and Inventory . Program
FACILITY NAME #
ADDRESS
,fir - L.IZ- !` -»
FACILITY CONTACT
�!" ��'
Tel.
Fax;
(661) 326 -3979
(661) 872 -2171
�
INSPECTION /DATE
HONE NO.
�USINE SS ID NUMBER
INSPECTION TIME
NO OF EMPLOYEES
�
1;5 -021 - oo 3 l2
i
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY El MULTI-AGENCY ❑ COMPLAINT
D RE- INSPECTION
C V C= Compliance) OPERATION
V =Viola #ion
COMMENTS
-
❑ APPROPRIATE PERMIT ON HAND
q a ❑
Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
( ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
r ❑ VERIFICATION OF ABATEMENT SUPPLIES AND
OCEDURES
( ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? firYES ❑ NO
EXPLAIN:
z
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business °Site /School
Site Responsible Parry (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy
FD2049 (Rev. 02/05)