HomeMy WebLinkAboutBUSINESS PLAN 4/27/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
R A F. R s r t o
900 TYuxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
v ARrM
Tel.: (661) 326 -3979
Planand inventory Program'
Fax (661) 872 -2171
FACILITY NAME
INSPECTION DATE-
;77-16P
INSPECTION TIME
16
ADDRESS
'/3,2 3
PHONE NO.
329%1 '///
O OF EMPLOYEES
/3
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - &J �j2
Section 1 -0Buslness
C v C= Compliance OPERATION
V= Violation
COMMENTS
/
E T El APPROPRIATE PERMIT ON HAND
Er""❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
E ❑ VISIBLE ADDRESS
Section 1 -0Buslness
Planand inventory Program'
t �� s
E ❑ VERIFICATION OF INVENTORY MATERIALS
.
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a .
ROUTINE
❑
COMBINED ❑ JOINT AGENCY-
❑ -MULTI- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
/
E T El APPROPRIATE PERMIT ON HAND
Er""❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
E ❑ VISIBLE ADDRESS
2r- 0 CORRECT OCCUPANCY
E ❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
/❑
P ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
R� '[] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
LK ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES DLO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # 06siness Site / Responsib Party Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05