HomeMy WebLinkAboutBUSINESS PLAN 5/7/2010UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
e E R s F , 0 900 Truxtun Ave., Suite 210
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FIRE Bakersfield, CA 93301
ARTM
SECTION 1: Business Plan and Inventory Program ,j Tel.: (661) 326 -3979 Fax: (661) 872 -2171
FACILI�TjYY NAME T//
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INSPECTI DATE
INSPECTION TIME
ADDRESS
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PHON NO.
L/ /� - 5Z2
NO OF EMPLOYEES
FACILITY CO TACT
BUSINESS ID NUMBER
15 -021-
` lid' ti6nAT `Bus iness` °PI'an anal Inventory Program
I' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
U0 ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
El VERIFICATION OF LOCATION
/
Ltd' ❑ PROPER SEGREGATION OF MATERIAL
Gdr ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
IV ❑ EMERGENCY PROCEDURES ADEQUATE
V ❑ CONTAINERS PROPERLY LABELED
Er ❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
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