HomeMy WebLinkAboutBUSINESS PLAN 2/17/2010UNIFIED PROGRAM INSPECTION CHECKLIST��
SECTION 1: Business Plan and Inventory Program
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPE TION DATE
INSPECTION TIME
ADDRESS
HONE NO.
NO OF EMPLOYEES
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❑ RE- INSPECTION
FACILITY CONTACT
3USINESS ID NUMBER
11 Lt-- CA
15 -021-
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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
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
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CONTAINERS PROPERLY LABELED
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❑
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
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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
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FACILITY NAME
ePL W -, S — czu t
INSPECTION D(TE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
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15 -021-
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❑ 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