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
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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