HomeMy WebLinkAboutBUSINESS PLAN 5/20/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A F; R S r 1 D
FIRE
D ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME \ n
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INSPEC ION DATE
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INSPECTION TIME
ADDRESS f 9 ) e ��
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PHONE NO. ` O
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
II Section `1 Business Plan aIn In�ento y Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
r
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
j ❑
PROPER SEGREGATION OF MATERIAL
L
❑
VERIFICATION OF MSDS AVAILABILITY I
•
❑
VERIFICATION OF HAZ MAT TRAINING
•
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/I _
l v
❑
EMERGENCY PROCEDURES ADEQUATE
❑
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
,
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? El YE 0
EXPLAIN:
i
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # usin s Si e / Respo si le arty (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05