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Home My WebLink AboutBUISNESS PLAN 6/16/2011UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:t Business Plan and Inventory Program I R� E_ R S F I . D FIRE D ARTM Prevention Services 900'rruxtun Ave.. "Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME � � 1 � 2/ INSPECTION � i� INSPECTION TIME �� n J I)9� ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ADDRESS L HONE NO. . I Shoo -z51 NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15- 021 - ° "'Sectlone 1 :Business Plan_ 6 h Inventory Program ti ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND I)9� ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE I ❑ VISIBLE ADDRESS << /� -► �� Jar (J C ❑ 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 ^B ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE OWSITE? ❑YES EXPLAIN:• �rl ve � QUESTIONS REGARDING HIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Cs Inspector (Please Print Fire Prevention / 1 In / Shift of Site /Station # Business'Site / RegrporTsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION - CHECKLIST , . �E SECTION 1: Business Plan and Inventory Program .; FACILITY NAME //'� % ea..I'..��J� Prevention Services N A/ K P. R' S F \ i , n F /RE / 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 O'E,ARTM v r Tel.: (661) 326 -3979 FACILITY CONTACT Fax: (661) 872 -2171 FACILITY NAME //'� % ea..I'..��J� INSPECTION DATE INSPECTION TIME nAl , ADDRESS ViJ PHONE N6. 0 - ;- - NO OF EMPLOYEES -f FACILITY CONTACT BUSINESS ID NUMBER ' ❑ CORRECT OCCUPANCY 15- 021 - a u _4 SectioA 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 ❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY %1' ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ev ❑ VERIFICATION OF LOCATION y ❑ 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 R ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES EXPLAIN: !14.- ,Y I , - 0 n C' ,-, 4 I J QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Ag�g 4el� Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # E usiness ire / Res o Bible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05