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HomeMy WebLinkAboutBUSINESS PLAN 2/17/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 41% D FIRE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE TION INSPECTION TIME CPL- U3 �.�►-�� SECZ�) �ATE 71 16 Q ADDRESS PHONE N0. NO OF EMPLOYEES 103 01 iZ10 Kiz:2 f- eE,s t-3" Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER 'L QL__ 15 -021- Section,1. Business Plan and Inventory Program OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ Q APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE tL ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES `41:) L Y ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL 1 ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING Jail ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ ❑ HOUSEKEEPING ❑ FIRE PROTECTION QD ❑ SITE DIAGRAM ADEQUATE & ON HAND Ku"V i d ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �A Q��' w Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu ' 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 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME C Pt,- W .Kr ke- < Q 0) e INSPE TION ATE 71 t? I 1 1j INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES IQ�01 12 P, 0 -6EAvs W� ,❑ FACILITY CONTACT BUSINESS ID NUMBER V. 15 -021- ❑ VISIBLE ADDRESS Section 1: Business Plan. and Inventory 'Pro.grain �QS0UTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI-AGENCY El COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ Q APPROPRIATE PERMIT ON HAND ,❑ ❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE -a ❑ VISIBLE ADDRESS `Ch ❑ CORRECT OCCUPANCY QJ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES '-OP ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL �<CIj ❑ VERIFICATION OF MSDS AVAILABILITY "0) ❑ VERIFICATION OF HAZ MAT TRAINING Q,�'E,� C� NO ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �©:� ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ ❑ HOUSEKEEPING ❑ FIRE PROTECTION (❑ 1 ❑ 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 / 1s' In / Shift of Site /Station # Bu i ss Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05