The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 5/4/2011UNIFIED PROGRAM INSPECTION CHECKLIST; SECTION 1: Business Plan and Inventory Program Prevention Services 41_W. 900 TYuxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME I t INSPECTION DATE INSPECTION TIME hN ❑ Business PLAN CONTACT INFORMATION ACCURATE ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER M W— ` a 15 -021- ,Y ❑ VERIFICATION OF LOCATION Se_ction,l:. Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND hN ❑ 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 ❑ 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 ANY HAZARDOUS WASTE ON SITE? EXPLAIN ❑ YES A- NO QUESTIONS RE ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please rint) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 a u k f Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST,! A R E R S F t_!? _l) 900 Truxtun Ave., Suite 210 KO FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory y Program ° pARrMEN� Tel.: (661) 326 -3979 9 Fax: (661) 872 -2171 FACILITY NAME (t INSPECTION DATE INSPECTION TIME Y It 70 ❑ ADDRESS v PHONE NO. NO OF EMPLOYEES ❑ Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT k r b^ BUSINESS ID NUMBER 15 -021- Section 1: Business Plan and Inventory Program 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 ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY t , ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES 7 ❑ VERIFICATION OF LOCATION El' ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES IN, ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED V\ ❑ HOUSEKEEPING I2 v ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES NO )el MANY � 4dP,nni QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 1 +� Li Inspector Please r'int Fire Prevention / 1s ` IShift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 PCl .