HomeMy WebLinkAboutBUSINESS PLAN 5/16/2011Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST R F R S F t o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program AN TN Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME .
INSPECTION DATE
INSPECTION TIME
5--16 - It
ADDRESS
PHONE NO.
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
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
/
Ld ❑ BUSInesS PLAN CONTACT INFORMATION ACCURATE
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❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
I ❑ 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
�I ❑ FIRE PROTECTION
/
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 r
Inspector (Please print) Fire Prevention / 1" In / Shift of Site /Station # Bus Hess Site /Responsible Party (Please Print)
r.
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
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UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plana and Inventory Program
'
Prevention Services
B E R S F t e o
9001Yuxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
D P,ARTM r
Tel.: (661) 326 -3979
❑ CORRECT OCCUPANCY
Fax: (661) 872 -2171
FACILITY NAME .
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
❑ CORRECT OCCUPANCY
15 -021-
l� ❑ VERIFICATION OF INVENTORY MATERIALS
'Seddon 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
l� ❑ 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
C ❑ 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
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /St tion # Bless Site/ Responsible Party (Please Print)
i
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
E R S F_I D 900 Truxtun Ave., Suite 210
*F E Bakersfield, CA 93301
ARIRim r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
UJ G
It
ADDRESS I
PHONE NO.
NO OF EMPLOYEES
f ❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION
15 -021-
Section 1:.:Busisness 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
I ❑ Business PLAN CONTACT INFORMATION ACCURATE
(((
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
f ❑ 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
Q C1 CONTAINERS PROPERLY LABELED
/l/ ❑ HOUSEKEEPING
/011
� ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE ON HAND
i
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN'
❑ YES ❑ NO
-1-M I J
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 t
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Inspector (Please rint) Fire Prevention / 1" In / Shift of Site /S Lion # Bus s Site / Responsib a Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05