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HomeMy WebLinkAboutBUSINESS PLAN 6-14-2013v ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ M LTI- AGENCY ❑ COMPLAINT El RE- INSPECTION C V ( (;=(;ompliance) OPERATION V= Violation ❑ APPROPRIATE PERMIT ON HAND ❑ BUSineSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 1, ❑ VERIFICATION OF QUANTITIES (( ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL i ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA OUS WASTE ON SI E? YE(S,, ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (E 13 Inspector (Please Print) Fire rrevention / 15` In L.Shift of Site /Station # White - Prevention Services Yellow - Station Copy &) 6 Cars. lCo or= 61) 326 -3979 Pink — Business Copy FD 2155 (Rev. 09105 Prevention Services UNIFIED P R O G RA INSPECTION CHECKLIST. s F � 900 Truxtun Ave. , Suite 210 RE tAE Bakersfield, CA 93301 S E CT I ® 1: Business Plan and I vento Pro ra "� Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME TL INSPECT O � � DAT INSPECTION TIME ADDRESS IL v� ®� IY¢ PHON No. NO OF ELOYEES FACILITY CON C �® A- BUSIIINE SdSS ID NUMBER BUSINESS -� 1 ; � � _5 - 021 - °�CU ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ M LTI- AGENCY ❑ COMPLAINT El RE- INSPECTION C V ( (;=(;ompliance) OPERATION V= Violation ❑ APPROPRIATE PERMIT ON HAND ❑ BUSineSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 1, ❑ VERIFICATION OF QUANTITIES (( ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL i ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA OUS WASTE ON SI E? YE(S,, ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (E 13 Inspector (Please Print) Fire rrevention / 15` In L.Shift of Site /Station # White - Prevention Services Yellow - Station Copy &) 6 Cars. lCo or= 61) 326 -3979 Pink — Business Copy FD 2155 (Rev. 09105