HomeMy WebLinkAbout3601 AUBURN STREET (3)C,S=-rA- C)K 47)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
T —& 1 l
Prevention Services
o 900'1Yuxtun Ave., Suite 21017
F /R6 Bakersfield, CA 93301
RTM r Tel.: (661) 326 -3979
BUSINESS ID NUMBER
15-021.
Fax: (661) 872 -2171
FACILITY NAME
T —& 1 l
NSPECTION DATE
2_i _I - 1_2_
INSPECTION TIME
S rv ,/-/
ADDRESS
Stec)] 2v s-—
PHONE NO. O OF EMPLOYEES
AGIC,- FACILITY CONTACT BUSINESS ID NUMBER
15-021.
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v l ,{
C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
IJi Business PLAN CONTACT INFORMATION ACCURATE
El VISIBLE ADDRESS
111' CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
JEd 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
1 FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
YES NO
QUESTIONS REGARDING HIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station #
Sc G N47"() Z_ NC&T "(L-eke
Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105
UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
1
Prevention Services
B B R 5 F, B o 900 Truxtun Ave., Suite 210
FRB Bakersfield, CA 93301
ARrN r Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME
1
INSPECTION DATE
7-12-
INSPECTION TIME
v ,2. . le-CI ECfl -- (IS 2- 1 5 M,N
ADDRESS PHONE NO. NO OF EMPLOYEES
VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT BUSINESS ID NUMBER
El VERIFICATION OF LOCATION
15- 021 - o
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
El APPROPRIATE PERMIT ON HANDQ,.],// /
M Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES Ip 3 i' F '
El VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
U EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES NO
QUESTION REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
VLA_ f l / f O j S ( C Al, A ' "OT 401(L-4 /3 (;
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