HomeMy WebLinkAboutBUSINESS PLAN 5/17/2011UNIFIED PROGRAM - INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
- Prevention Services
B r R s e_, „ '900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS \
'5-�co }t�c�G �A,
HONE NO.
(oL. I_ Lo,3L-1- 1210
NO OF EMPLOYEES
I=1
FACILITY CONTACT
9rc"V\'
BUSINESS ID NUMBER
15 -021- 0:?03b
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eess Pla,n�
Busin -and Inventory Program a
ROUTINE ❑, COMBINED ❑ JOINTAGENCY ❑ 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
❑ 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 ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire F4vantion / 1" In / Shift of Site /Station # C-&'
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05