HomeMy WebLinkAboutBUSINESS PLAN 5/17/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
H 8 R S F t o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
AR ,N r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME R r
INSPECTION DATE
INSPECTION TIME
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s -17 -1 u
ADDRESS
3rJ� New S�,t��
PHONE NO.
g51 -20.. b
O OF EMPLOYEES
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FACILITY CONTACT
C�\
USINESS ID NUMBER
15 -021-
Section 1 B,USiness lan and Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ ❑ APPROPRIATE PERMIT ON HAND
❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
�— ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 6-NO
Inspector ( lease Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05