HomeMy WebLinkAboutBUSINESS PLAN 5/2010Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST E. R S F I n 900 Truxtun Ave.,.Suite 210
I B
FIRE Bakersfield, CA 93301
v I ARTM Tel.: (661) 326 -3979
SECTION 1: Business Plan and Inventory Program.
i .
Fax: (661) 872 -2171
FACILITY NAME
7^ o , l
INSPECTION DATE
-13 - Zc)
INSPECTION TIME
ADDRESS � � I
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
i;r ❑ CORRECT OCCUPANCY
15 -021-
Section,1Bus�i_nessPlanand Inventory Program
ROUTINE ❑ - COMBINED ❑ JOINTAGENCY _ ❑' MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
B," ❑ APPROPRIATE PERMIT ON HAND
Fl"- ❑ Business PLAN CONTACT INFORMATION ACCURATE
2— ❑ VISIBLE ADDRESS
i;r ❑ CORRECT OCCUPANCY
0'— ❑ VERIFICATION OF INVENTORY MATERIALS
@— ❑ VERIFICATION OF QUANTITIES -
J�/ ❑ VERIFICATION OF LOCATION
Et' ❑ PROPER SEGREGATION OF MATERIAL
0- ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
L� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
C� ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN- , '0.'" _j
QUESTIO S REGARDING %THIS.INSPECTION? PLEASE CALL US AT (661) 326 -3979
/, t� O G'-/` Gl 1-1--14 -
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