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BUSINESS PLAN 5/17/2011
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services R F. R S F t . ,_; 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D ARTM , Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS C)3 PHONE NO. I'l,t -B3ti -91oyZ NO OF EMPLOYEES FACILITY CONTACT 1I!- 'Ir,6,Iv BUSINESS ID NUMBER 15 -021- ©g -?S'$_ III a. `Sectwn 1 ` Buslnes`s Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY T ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ 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 1� ❑ 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? ---pYES• 0. NO EXPLAIN: I�}"` r ; %«r QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / sponsible Party (Please t) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05