HomeMy WebLinkAboutBUSINESS PLAN 4/27/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
8 A E R S F I D
FIRE
A RrNif
Prevention Services
900 gYuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
zg&M Of k &//Z
INSPECTION DATE
Z7 10
INSPECTION TIME
13 3$'
ADDRESS
HONE NO.
ASS-
0 OF EMPLOYEES
Z
FACILITY CONTACT
K
BUSINESS ID NUMBER
15 -021- 00072,?
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
ID
❑
APPROPRIATE PERMIT ON HAND
29
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
®
❑
VISIBLE ADDRESS
29
❑
CORRECT OCCUPANCY
®
❑
VERIFICATION OF INVENTORY MATERIALS
9
❑
VERIFICATION OF QUANTITIES
®
❑
VERIFICATION OF LOCATION
IN
❑
PROPER SEGREGATION OF MATERIAL
®
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
JS
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
19
❑
EMERGENCY PROCEDURES ADEQUATE
K
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
�I
❑
SITE DIAGRAM ADEQUATE & ON HAND
Kbr -WI3
ANY HAZARDOUS WASTE ON SITE? 'K1 YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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