HomeMy WebLinkAboutBUSINESS PLAN 6/2/2010D
UNIFIED PROGRAM INSPECTION - CHECKLIST
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SECTION 1: Business Plan and Inventory Program
Prevention services
B F; R S F 1 „ 900 Truxturt Ave.,' Suite 210
FIRE Bakersfield, CA 93301
D ARM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Lr Sa�nS
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30 M,v�
ADDRESS
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PHONE NO
1-833 -607
O F EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBE
o S P 2
15- 021 - I ooy(a D
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( 3ect�ort 1 Buslness�Plan and Inventdry`Program, .
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINTS " ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
�i ❑ APPROPRIATE PERMIT ON HAND
❑ BUSIIIeSS 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 0 NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
6 C_ ST S
Inspector (Please Print) Fire Pre ention 11" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05