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HomeMy WebLinkAboutBUSINESS PLAN 6/14/2010UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services A A_R S,F � :0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program *ARTN r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 0.J r ► 0110— (0 'L — 1) 16 !K1, ADDRESS Z += �- d I PHONE NO. NO OF EMPLOYEES N Ad— FACILITY CONTACT � Nti �� USINESS ID NUMBER 15 -021- ❑ VISIBLE ADDRESS Section "1: Business Plan and, Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V c 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 r j / ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL f� ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND nor -ouie ANY HAZARDOUS WASTE ON SITE? ❑ YES V0 EXPLAIN: 6S, � j Q Q—a n-�!s l 4+^' QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Business Site / Responsi Party Please Print White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05