HomeMy WebLinkAboutBUISNESS PLAN 5/26/2011'i
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
R S F ,
900 Truxtun Ave., Suite 210
FIRE
JA
Bakersfield, CA 93301
RTN
Tel.: (661) 326 -3979
Fax: 872
_T
(661) -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
�a
PHONE NO.
NO OF EMPLOYEES
❑ VISIBLE ADDRESS
_T
FACILITY CONTACT J
BUSINESS ID NUMBER
15 -021- 6431
l/
❑ VERIFICATION OF QUANTITIES
Section1 Business Plan and 'I I
nventory Program ��
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ 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 R ON HAND
ANY HAZARDOUS WASTE ON SITE? '9 YES ❑ NO
EXPLAIN: 6'_)'1 S T
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
1
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
A _ F R s F , .._„ .900 Truxtun Ave., Suite 210
- -- -=-- -- — — — - FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM Tel.: (661) 326 -3979
Fax: (661) 872 =2171
FACILITY NAME \\
INSPECTION DATE
IINSPECTION TIME
V
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS G \ \ \
HONE NO.
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 -
a!t Section 1 B,us.iness Plan and Anvefitory Program
ROUTINE ❑ COMBINED l RE-INSPECTION
❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑
C v c 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? ❑ YES ❑ NO 1
0 EXPLAIN: �- �'�C` rA./
Vc
- /QUUEE)S`TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / f` In / Shift of Site /Station # Business Site esponsible Party PI ase Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05