HomeMy WebLinkAbout7000 WIBLEFACILITY NAW A a „-.Q. r
INSPECTION DATE INSPECTION TIME
Y60
ADDRESS
7000 t v "W' PHONE NO NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15- 021- 1 rJ`(S
UNIFlE® PROGRAM lNSPECTlON CHECKUST ': fFIREF t c 900TruxtunAve., Suite 2100
Bakersfield, CA 93301
SECTDO`N 1: Business flan and lnventory Progra o r r Tel.: (661) 326 -3979
id
V Fax: (661) 872 -2171
FACILITY NAW A a „-.Q. r
INSPECTION DATE INSPECTION TIME
Y60
ADDRESS
7000 t v "W' PHONE NO NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15- 021- 1 rJ`(SLlri a
L%
Section 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
F V Business PLAN CONTACT INFORMATION ACCURATE
4!f VISIBLE ADDRESS
I( CORRECT OCCUPANCY
id VERIFICATION OF INVENTORY MATERIALS
b4 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?
EXPLAIN
YES a NO k—
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector ( lease Print) Fire Prevention / 1" In / Shift of Site /Station # Busir
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business-Plan')and Inventory ProgramC "1
Prevention Services
N K H R S F I e D 900 Truxtun Ave., Suite 210
FiR Bakersfield, CA 93301
aerx jr Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME r _a /
v
INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT BUSINESS ID NUMBER
VISIBLE ADDRESS
15- 021 -
C v
Section 1: Business Plan and Inventory Program
COMMENTS
0° ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
1
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
d
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
Q VERIFICATION OF QUANTITIES
d VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
11 VERIFICATION OF MSDS AVAILABILITY
O VERIFICATION OF HAZ MAT TRAINING
Pd
1:1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
r0
EMERGENCY PROCEDURES ADEQUATE
L1 CONTAINERS PROPERLY LABELED
HOUSEKEEPING
0. FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES , NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
r x
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