HomeMy WebLinkAboutBUSINESS PLAN 5/3/2011UNIFIED PROGRAM INSPECTION CHECKLIST)
SECTION 1: Business Plan and Inventory Program
B_ E R S ![:� D
FIRE
ARrM r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
Poo/ Sv l
INSPECT ON ATE
INSPECTION TIME
Acme
❑
APPROPRIATE PERMIT ON HAND
ADDRESS
(9 / H
PHONE NO._ 2SS
32� - J
O OF EMPLOYEES
1
FACILITY CONTACT `
I,�,III,4M tJZ
BUSINESS ID NUMBER
15-021 -
�
l/" l �
VISIBLE ADDRESS
� r
°Section 1: Business Plan and Inventory Program
5k 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
0,
❑
VISIBLE ADDRESS
yk
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
(
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
0§
❑
PROPER SEGREGATION OF MATERIAL
0-
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
yr
❑
EMERGENCY PROCEDURES ADEQUATE
EK
❑
CONTAINERS PROPERLY LABELED
0
❑
HOUSEKEEPING
❑
❑
FIRE PROTECTION
I&
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES )n` NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1s' In'/ Shift of Site /Station #
While - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05