HomeMy WebLinkAboutBUSINESS PLAN 11/22/2005UNIFIED PROGRAM INSPECTION CHECKLIST `
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_ SECTION 1: Business Plan and Inventory Program r
BAKERSFIELD FIRE DEPT
Prevention Services
p~~j D 900 Trtixtun Ave,., Suite 210
ARTN T Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS /~
Z~ ~ ~"~6 ~ 0~ . ~ ~D HONE NO.
~j Z~J~Lt 1 ~ O OF EMPLOYEES
~
FACILITY CONTACT
~e(~~ ~~~6~AFF USINESS ID NUMBER
15-021- 4C~ZZ3~
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
•
C V (c=Compliance OPERATION
V=Violation COMMENTS
_ __
l~ ^ APPROPRIATE PERMIT ON HAND
B~ ^ BUSI~I?SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
LS ^ CORRECT OCCUPANCY
,
C
7
^ VERIFICATION OF INVENTORY MATERIALS
~~
//
6d' ^ VERIFICATION OF QUANTITIES
,
L`f' ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
C
~
,
_
/
~T ^ VERIFICATION OF ABATEMENT SUPPLIES AND
PRO
CEDURES
/
Ld' ^ EMERGENCY PROCEDURES ADEQUATE
C~% ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
• QUESTIONS REGARDING THIS INSPECTION? PLEASE cALL us Ar (ssi) a2s-ss~s
Inspector (Please Print) Fire Prevention / ib' In /Shift of Site/Station #
^ YES [9' NO
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105)