Loading...
HomeMy WebLinkAboutBUSINESS PLANS 5/19/2010i UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business. Plan and Inventory Program FIRE D ARYN Prevention Services 900 Truxtun Ave':`; Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY i NAME a' r W INS PE TION D TE , 5/ INSPECTION TIME ADDRESS i () tea) HONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ❑ 15 -021- i Section 1 Business *, lan.and.lnveiitdry Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ . MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION'S -' C v c C= Compliance OPERATION V= Violation COMMENTS �► ❑ APPROPRIATE PERMIT ON HAND I a Cry ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE P❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ,W ❑ VERIFICATION OF HAZ MAT TRAINING W a cr- C ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES N �+- ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED A6 ❑ HOUSEKEEPING ❑ FIRE PROTECTION �n1 ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑YES /,)NO EXPLAIN: F QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST, A /x F. nsr1, 900 Truxtun Ave., Suite 2 10 �., n - - -- - = FieE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program o>�ARrM �r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE TION DATE INSPECTION TIME ;Ox ❑ APPROPRIATE PERMIT ON HAND ` ADDRESS PHONE NO. NO OF EMPLOYEES pp VISIBLE ADDRESS --� Y FACILITY CONTACT BUSINESS ID NUMBER 15 -021- Section 1: Business Plan and Inventory Program �ROUTINE/ 0, COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION r C v C= Compliance OPERATION V= Violation COMMENTS ;Ox ❑ APPROPRIATE PERMIT ON HAND ` ❑ ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE "Cl) ❑ VISIBLE ADDRESS --� Y 0) ❑ CORRECT OCCUPANCY ;9 ❑ VERIFICATION OF INVENTORY MATERIALS t ❑ VERIFICATION OF QUANTITIES ids ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY �> ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES /'t:.h ❑ EMERGENCY PROCEDURES ADEQUATE CD7 ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING Q� ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ,,-%N0 u '4-- c QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 • Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST i A ' ,, 90oTruxtunAve., Suite 210 F /RE Bakersfield, CA 93301 SECTION 1: Business Planland Inventory Program DE,PARrM ' Tel.: (661) 326 -3979 J Fax: (661) 872 -2171 FACILITY NAME ��} �. INSPECT ION PECTION D1ATE / � INSPECTION TIME Y, c� � / 16 ❑ ADDRESS PHONE NO. NO OF EMPLOYEES � Cad Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- Section 1: Business Plan and'Inventory Program %ROUTINEl ❑' COMBINED 11 JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT- 11 RE-INSPECTION r C v \ C= Compliance OPERATION V= Violation COMMENTS 'O+ ❑ APPROPRIATE PERMIT ON HAND e_ , h ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE -t ❑ VISIBLE ADDRESS ,0-) ❑ CORRECT OCCUPANCY ` ©5 ❑ VERIFICATION OF INVENTORY MATERIALS �Ot ❑ VERIFICATION OF QUANTITIES -O, ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY r fln+ '91 ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �y 1 ❑ EMERGENCY PROCEDURES ADEQUATE f0� ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING 0'1 ❑ FIRE PROTECTION �1 +tai V: ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES f`Q,�NO EXPLAIN: 1 r QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL Us AT (661) 326 -3979 7 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05