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BUSINESS PLAN(4) 4-23-10
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services e H R S f t o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 0T"_11 Business PLAN CONTACT INFORMATION ACCURATE Er"❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ADDRESS PHONE NO. NO OF EMPj_OYEES L7 ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION FACILITY CONTACT USINESS ID NUMBER SCG ✓ DIU, S 15 -021- Sectw.n,1 .:Business Plan and�Inve.ntory Program -�< ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND 0T"_11 Business PLAN CONTACT INFORMATION ACCURATE Er"❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY I!r-❑ VERIFICATION OF INVENTORY MATERIALS L7 ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION 2_,/❑ PROPER SEGREGATION OF MATERIAL ,. &-'[:] VERIFICATION OF MSDS AVAILABILITY L7 ❑ VERIFICATION OF HAZ MAT TRAINING ©' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I- ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED L''❑ HOUSEKEEPING Ii3-- ❑ FIRE PROTECTION Cam❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # ' ess Site / Respon ihle Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05