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Home My WebLink AboutBUSINESS PLAN 4/23/2010UNIFIED PROGRAM INSPECTION CHECKLIST 1 ' Prevention Services B F R S F, 0 900 Truxtun Ave., Suite 210 FIRE .. Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° a Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME Ni � INSPECTION DATE K 2� ( 0. INSPECTION TIME \/ z t-tv ADDRES `ODO Irvt(W HONE NO. ~— O OF EMPLOY ES FACILITY CONTACT Pli 03 (W 'ectlon 1 �Buslness�Ph sand Invento ; Pro S gram �, ROUTINE ❑ COMBINED �❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v r C= Compliance) OPERATION l 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? ❑YES dTNO V EXPLAIN: /v ( moo'j S QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) 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 UNIFIED .PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Prevention Services r. -.,- E 0 900 Truxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 DE ARTN 457 V'A%* Tel.: .(661) 326 -3979 y� Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME z 1-+z ADDRESS— 3�o f� PHONE NO. NO OF EMPLOY ES FACILITY CONTACT BNO- �U•mBF� {Cris y� 6 c 1 , Sec Business Ptan'and In n #ory Program t ROUTINE ❑9'; COMBINED.. ❑ JOINT AGENCY.,.... ❑.. M ULTI- AGENCY TI- El CO OMPLAININ T ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS _ x_7 ❑ APPROPRIATE PERMIT ON HAND -Ta ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ii ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING • VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES • EMERGENCY PROCEDURES ADEQUATE' ii ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE Pi! ON SITE? EXPLAIN: VnJ P,1y-*""ij0l f ''P < ❑ YES NCI QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 7 • Inspector (Please Print) Fire Prevention / 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 u