HomeMy WebLinkAboutBUSINESS PLAN 6/2/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A RR S_ F_I - D
FIRE
D ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171'
FACILITY NAME
S� �G
INSPECTION DATE
e - Z
INSPECTION TIME
/
COMMENTS
/
-'tea
ADDRESS
Zo ,'
PHONE NO.
—o�7(
NO OF EMPLOYEES
/do
FACILITY CONTACT p
Gtr`
BUSINESS ID NUMBER
15 -021-
og
NIB
�1usiness Plan anc! Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
IV
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
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
I�
❑
VERIFICATION OF HAZ MAT TRAINING
I�f
//
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
/r
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
D
❑
FIRE PROTECTION
I�(
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WAS E N SITE? YES NO
EXPLAIN: Q
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention 11" In / Shift of Site /Station # Busine it kRespo sible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05