HomeMy WebLinkAboutBUSINESS PLAN 11/18/2009UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
900 Truxtun Ave., Suite 210
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FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program i ° " r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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NO OF EMPLOYEES
FACILITY CONTACT �/
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USINESS ID NUMBER
15- 021 - B00 %%"f
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8ect1on 1: Business Plan and.Inventory Program
�W ROUTINE ❑ COMBINED 1:1. 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
VERIFICATION OF INVENTORY MATERIALS
El VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
I
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
FIRE PROTECTION
Id ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES 2/N 0
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
P I
C Aa VA 4-0
Inspector (PI se Pri ) ire Prev ntion / 1�' In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
While - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
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