HomeMy WebLinkAboutBUSINESS PLAN 5/27/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B „ lt s r. l ,_, 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARFN Tel.: (661) 326 -3979
Fax: (661),872 -2171
FACILITY NAME
%4T.,e17—
INSPECTION DATE
- 7-
INSPECTION TIME
0,9 o0
ADDRESS
PHONE NO.
NO OF EMPLOYEES
I
8J -'11 CORRECT OCCUPANCY
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
�. -
Section 1: Bus�in.ess Plan ancf Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
/
2 ❑ APPROPRIATE PERMIT ON HAND
�❑ Business PLAN CONTACT INFORMATION ACCURATE
�
[�❑ VISIBLE ADDRESS
8J -'11 CORRECT OCCUPANCY
L�J ❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
/
2"'11 VERIFICATION OF LOCATION
93 ❑ PROPER SEGREGATION OF MATERIAL
12"—/ ❑ VERIFICATION OF MSDS AVAILABILITY
iE ❑ VERIFICATION OF HAZ MAT TRAINING
5i--❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
IG ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN: 6 L aia
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