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HomeMy WebLinkAboutBUSINESS PLAN 2/17/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FIR RT AM i Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME CPt- l'? 'r � S EQ� t c. INSPECTI N D(1TE Z �Z i INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES l20 Q 4 Q_'N Svc FACILITY CONTACT Pis i C-�- BUSINESS ID NUMBER 15 -021- Section 1: Business Plan and Inventory Program ❑ 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 4Z ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING Q ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 42 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED / 13 © �� ❑ HOUSEKEEPING �. ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND �) ANY HAZARDOUS WASTE ON SITE? ❑ YES NO EXPLAIN QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 4!!::� �G-- _77- 9 Inspector (Please Print) Fire Prevention / 1" In / 6hift of Site /Station # 13 7s Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services B E a s F. 0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "R'"' Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME CIAL. EQ� 1 C INSPECTI N D TE "Z % /a INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES 1ZU( L( lvov Refl Rvc 1S FACILITY CONTACT BUSINESS ID NUMBER C 15 -021- VISIBLE ADDRESS Section 1: Business -Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND 1S ❑ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE ®o ❑ VISIBLE ADDRESS ,E�k ❑ CORRECT OCCUPANCY D� ❑ VERIFICATION OF INVENTORY MATERIALS ,r!Eb ❑ VERIFICATION OF QUANTITIES LJ ❑ VERIFICATION OF LOCATION %Cgb ❑ PROPER SEGREGATION OF MATERIAL Kb ❑ VERIFICATION OF MSDS AVAILABILITY „ ❑ ❑ VERIFICATION OF HAZ MAT TRAINING G ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1� ❑ EMERGENCY PROCEDURES ADEQUATE NZ'- ❑ CONTAINERS PROPERLY LABELED u ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND KbMIUIJ ANY HAZARDOUS WASTE ON SITE? ❑ YES LJ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1'' In / Shift of Site /Station # Busi s Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105