HomeMy WebLinkAboutBUSINESS PLAN 6/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
�► Prevention Services
A F R S r t 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
6—?--- / r
INSPECTION TIME
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S;ectlon 1 Business
Plan Inventory Program
ADDRESS v ) � r ��� i v
PHONE NO. '/'o
A�- d o
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
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15 -021- Do63j
❑ RE- INSPECTION
VISIBLE ADDRESS
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
S;ectlon 1 Business
Plan Inventory Program
APPROPRIATE PERMIT ON HAND
and
❑
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
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❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
bi
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
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EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS W-,,STTE ON SITE? 4WYES ❑ NO
EXPLAIN: ` h' c% �, S cz �
QUESTIONS` REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Re nsible (P-I rin)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05