Loading...
HomeMy WebLinkAboutBUSINESS PLAN 3/1/2010Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST a E R 5 F , 0 900Truxtun Ave., Suite 210 Fiee Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program R.. rr Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY AME D INSP CTIO DATE �il� INSPECTION TIME APPROPRIATE PERMIT ON HAND lees tv Business PLAN CONTACT INFORMATION ACCURATE ADDRESS li ` O' � � � Pb-z" NO. NO OF EMPLOYEES � C � � ^ ` o ❑ CORRECT OCCUPANCY FACILITY CONTAFC'11T BUSINESS ID NUMBER � k:k'i S a 5� 2 E 1 15 -021- Section 1 BuslnessPlan and Inmeritory.Program ROUTINE ❑ COMBINED. ❑� JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ ICJ' Business PLAN CONTACT INFORMATION ACCURATE � aC' C-1k 0A CIA fi� elzs ,,t> ❑ VISIBLE ADDRESS ` o ❑ 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 Ca 1H ❑ EMERGENCY PROCEDURES ADEQUATE �J ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING --��ipc�. -, ❑ FIRE PROTECTION -f2- 6C 1 p {°ti+a ( C?" ❑ SITE DIAGRAM ADEQUATE '& ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES W. NO 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 I UNIFIED PROGRAM INSPECTION CHECKLIST j SECTION 1: Business Plan and Inventory Program E K E R S F I E D FIRE e ARrN , `r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME e , S �dU Sit 1 v APPROPRIATE PERMIT ON HAND ADDRESS L 91101 �1G PHONE NO. r NO OF EMPLOYEES ❑ ❑o Business PLAN CONTACT INFORMATION ACCURATE �' ( k� FACILITY CONTACT BUSINESS ID NUMBER ❑r .7 ❑ VISIBLE ADDRESS Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance) OPERATION V= Violation COMMENTS 0­3 ❑ APPROPRIATE PERMIT ON HAND ❑ ❑o Business PLAN CONTACT INFORMATION ACCURATE �' ( k� ` i S G i J rc ❑r .7 ❑ VISIBLE ADDRESS O ' ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY 6 V i. i r.. E. 't "-I� L � � ♦ 0, ❑ w� VERIFICATION OF HAZ MAT TRAINING '❑, ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES `B' ❑ EMERGENCY PROCEDURES ADEQUATE ,E) ❑ CONTAINERS PROPERLY LABELED O% ❑ HOUSEKEEPING Cyr MJ.) "F.�i \:_L s v•-' �„ �, � (�] L ❑ FIRE PROTECTIONI • • c '131 (" i1 re �L �. ( ❑'r ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑YES ha- NO EXPLAIN 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