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HomeMy WebLinkAboutBUSINESS PLAN 2/17/2010UNIFIED PROGRAM INSPECTION CHECKLIST�� SECTION 1: Business Plan and Inventory Program rARTMI D FIRE T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME (�PL Gsiu INSPE TION DATE INSPECTION TIME ADDRESS HONE NO. NO OF EMPLOYEES 0 s' L 42 u,1 N s t ❑ RE- INSPECTION FACILITY CONTACT 3USINESS ID NUMBER 11 Lt-- CA 15 -021- C v Section 1: Business Plan and Inventory Program COMMENTS ❑ ROUTINE ❑ 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 ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ )A VERIFICATION OF MSDS AVAILABILITY O ❑ VERIFICATION OF HAZ MAT TRAINING ry C` ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES jSD ❑ EMERGENCY PROCEDURES ADEQUATE ❑ 4f) CONTAINERS PROPERLY LABELED p j 0 )cd t/w1 %9 ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND 10100 W ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS RE DING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 A*Ql Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station # Brss 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 E R S F I u 900717ruxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 4 FACILITY NAME ePL W -, S — czu t INSPECTION D(TE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES p. LQ �c u,►AIG Sr kS FACILITY CONTACT BUSINESS ID NUMBER A - 15 -021- .. 3ect�on�1..13usiness Plan and = Inyentor Yy Pf `g ran 7. ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS 1] ❑ APPROPRIATE PERMIT ON HAND kS ❑ Business PLAN CONTACT INFORMATION ACCURATE i� ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY 13 VERIFICATION OF INVENTORY MATERIALS SG;, ?� ❑ VERIFICATION OF QUANTITIES �9D ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ 12 VERIFICATION OF MSDS AVAILABILITY 19P ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 10) ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING \0:, ❑ 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 G c Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # BusYf ss Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05