HomeMy WebLinkAboutBUSINESS PLAN 3/12/2010Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST! a 90OTruxtun Ave., Suite 210
— — — — —_ - — - FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSP CTION
INSPECTION TIME
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ITE
O
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OF EMPLOYEES
I n z- d 0 G (mod S� DDLC- P11L-
FACILITY CONTACT
BUSINESS ID NUMBER
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15-021 -
Sectional: Business Plan and Inventory Program
UTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
1�
1:7 ❑
VISIBLE ADDRESS
/10 ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑� ❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
Aa ❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
CUUl
❑
VERIFICATION OF HAZ MAT TRAINING
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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EMERGENCY PROCEDURES ADEQUATE
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CONTAINERS PROPERLY LABELED / Gl J
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❑
HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
2
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Bus' ss 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 R E R S F I D 900 Truxtun Ave., suite 210
- FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ° "erM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSP CTION DATE
c C= Compliance OPERATION
V= Violation
INSPECTION TIME
P L- 0 a S C a_ u G G
) 2 1
10
ADDRESS
PHO E NO.
NO OF EMPLOYEES
I C) 2, oc) PG (.v 5t°DD1.C- PGL
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15-021 -
`" Sectioln 1: Business Plan aln,d Inventory Program
O= ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance OPERATION
V= Violation
COMMENTS
<11) ❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
ttE�
lJ�
❑
VISIBLE ADDRESS
-"U
❑
CORRECT OCCUPANCY
kS
❑
VERIFICATION OF INVENTORY MATERIALS
��
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑ �Xa6
VERIFICATION OF MSDS AVAILABILITY Q
_1
o
ESP
❑
VERIFICATION OF HAZ MAT TRAINING
J1
`
LLB
El
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
- Y
❑
EMERGENCY PROCEDURES ADEQUATE
❑
I�b
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
iffl`
�❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Bus' ss Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05