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Home My WebLink AboutBUSINESS PLAN 12/6/2006 ,, ~ ~ i ' Prevention Services ,~ . 'I UNIFIED PROGRAM INSPECTION CHECKLIST ___ , D 9ooZYuxtun Ave., suite 21((0 l"~ SECTIOmNu1.: Business Plan and Invento Pro ram ~I B " rMt r Te~l.;:er(661) 326 39791 (J(~ ry g l~ ~ Fax: (661) 872-2171 I FACILITY NAME INSPECTI N D TE INSPECTION TIME ADDRESS - ~Z (~-~( ~ g ~ ~ PHONE NO. -~DDO NO OF EMPLOYEES FACILITY CONTACT U 15-021- ~,~' .Section 1; Business Plan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT RE-INSPECTION C V r. C=compliance` `OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUS~IIt?SS 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 J ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ~/ FIRE PROTECTION P~~ S~.(~v,/(~ ~--fir ~ ~5~~25 ~ g3 ~ r~, ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO FXPI AIN• FSq QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 l~ i Nr-S Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # ease White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 - _+ K/ SELF-CERTIFICATION CHECKLIST i;; Fire Prevention BAKERSFIELD FIRE DEPT. Prevention Services B E R 5 F I n 900 Truxtun Ave., Suite 210 J~J~t! Bakersfield, CA 93301 ARTIM' f T el.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME AMERICAN BUSINESS MACHINES ELF-CERTIFICATION DATE 13 OCTOBER 2006 ADDRESS 821. ~ 18TH STREET CITY O1 HONE NUMBER 661 324 4741 FACILITY CONTACT LOPEZ JR. ESTEVAN DO NOT DISCARD - FAILURE TO RETURN WILL RESULT IN FIRE bEPARTMENT INSPECTIQN INSTRUCTIONS: Please verify and check each item as appropriate. Include comments on each line or at the bottom as necessary. en completed, keep the second copy for your records and mail the top copy to the address above. Failure to return will result in inspection. Y N OPERATION COMMENTS ^ ~ Waste batteries saved in suitable containerfor recycling* NO BATTERIES USED 1~ ^ Spent fluorescent tubes saved in a suitable container for recycling* TAKEN TO LANDFILL j~l ^ Discarded electronic devices saved for recycling* COMPUTERS BACK TO DELL COPIERS TO CANON ^ ~ Discarded items containing Mercury saved for recycling* NO ITEMS W/ MERCURY O 4~ Discarded non-empty aerosol spray cans saved for recycling* NONE SO FAR Kl ^ Current annually serviced "ABC Type" fire extinguisher every 75 feet of travel 6cl ^ Extension cords not used in place of permanent wiring SURGE PROTECTOR ONLY ® ^ All exits indicated by exit signs, not more than 100 feet apart, if occupant load is 100 or more UNDER 50 ® ^ Minimum of 30 inches clearance in front of electrical panels , ~ ^ Cover plates installed on all electrical outlet, switch, and junction boxes ~1 ^ Flammable and combustible material stared properly and not adjacent to a source of ignition MET:1L CAB I1'1ET E A ^ .^ ^ ^ `~ ~ Rte. /~.t./~..N1 SY; ~~ ,", ~~ 5~ ^ ^ ^ ^ *Recycle at the Kern County Special Waste Facility, 4951 Standard Street, Bakersfield, CA 93308. Phone: (661) 862-8922 COMMENTS: LY RECYCLE CARDBOARD, CANS AND PALLETS. QUESTIONS R~ I IS CHECKLIST? PLEASE CALL US AT (661) 326-3979 k,, ~~,a.. .x a, "~ LOPEZ JR . ESTEVAN `m~~„ Signature Business Site !Responsible Party (Please Print) FD 2155b (Rev. 09/06) B E R S F I D F/R6 A/PTr r DATE: 7anuary 24, 2007 TO: Howard Wines FROM: Jeanni Loven SUB7ECT: American Business Machines #3489 I received a call from Judy (324-4741) of American Business Machines today. She stated they had received a Self Certification Checklist and thought they were going to pay the $30 admin fee. I billed $93 for an inspection you did on 12/06/06. Could you please let me know or call her to explain? Thank you. I ~'Z-~ ~U7 L6~ i " :~S'G ~2 J~S~ ~"4~ S ~3vs (.tan 3CZ-~.i 'R~~~4/ sC-LC-c~r~~ r-2~^'. ~ sC-~-cc2., PrraG2or., ~ (2C-CC'~/C- 1~ P~'~SrC~ rNSPt-~'zav.l Wt-F~-,2.L- Z- r-w^r7 RN C~T~..i~rs/4~ (~Ral(3CC,n.~. 'fl-l~-~ e.-r~ ~L 3C (LC-res2r~r~ iZ SG~f'- C.~~~r ,n~ r-v~rv~~ Yc~-5 13C-cows'~ ~ t~C~~C~E ?UC-4~ t,.rr ~~ Nc9W %3E ~ i c ~G.C-r.~ ~••/ `(~-K- /~.in/tio~t. C~-nn.e.,~/'si+C~1 SC~2/icr.,,~ _ t~ yUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME INSPECTION D TE INSPECTION TIME ADDRESS ~`~ PHONE O. -~DDD NO OFEMPLOYEES ~ ~SZ i ~-~ ~ ~ FACILITY CONTACT U ID 15-021- ~~~ Section 1: `.Business Plan and Inventory. Program - - - -- ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ~n r~ FSq C ' V, ~ C=Compliance..-. `OP.ERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ~~~ L~ -- ~ ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY J ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ I~/ FIRE PROTECTION p~~~ S~~r,~ , _ r ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 i.~ 1 s'~.~-~ Inspector (Please Print) Fire Prevention / 1s` In /Shift of SitelStation # Prevention Services A_ E..._R....S._F. ,. ,_ 0 900 Truxtun Ave., Suite 210 `1 F/RE Bakersfield, CA 93301 ~j ~IU\ aerM ~ Tel.: (661) 326-3979 ~ "~ Fax: (661) 872-2171 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~ ~ ~w r SELF-CERTIFICATION CHECKLIST ,. Fire Prevention BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Suite 210 s E R 9 F 1 n ~~~~ Bakersfield, CA 93301 AR1'M 1' Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME AMERICAN BUSINESS MACHINES ELF-CERTIFICATION DATE 13 OCTOBER 2006 ADDRESS 821 18TH STREET CITY O1 HONE NUMBER 661 324 4741 FACILITY CONTACT LOPEZ JR. ESTEVAN DO NOT DISCARD -FAILURE TO RETURN~WILLRESULT IN FIRE bEPARTMENT<INSPECTIgN INSTRUCTIONS: Please verify and check each item as appropriate. Include comments on each line or at the bottom as necessary. en completed, keep the second copy for your records and mail the top copy to the address above. Failure to return will result in inspection. Y N OPERATION COMMENTS ^ ~ Waste batteries saved in suitable container for recycling` NO BATTERIES USED l~l ^ Spent fluorescent tubes saved in a suitable container for recycling' TAKEN TO LANDFILL 1i41 ^ Discarded electronic devices saved for recycling` - COMPUTERS BACK TO DELL COPIERS TO CANON ^ 4~ Discarded items containing Mercury saved for recycling" NO ITEMS W/ MERCURY ^ [~[ Discarded non-empty aerosol spray cans saved for recycling* NONE SO FAR ~l ^ Current annually serviced "ABC Type" fire extinguisher every 75 feet of travel 6{7 ^ Extension cords not used in place of permanent wiring -SURGE PROTECTOR ONLY ® ^ All exits indicated by exit signs, not more than 100 feet apart, if occupant load is 100 or more UNDER 50 ® ^ Minimum of 30 inches clearance in front of electrical panels , ® ^ Cover plates installed on all electrical outlet, switch, and junction boxes ~] ^ Flammable acid combustible material stared properly and not adjacent to a source of ignition MET!1L CABII'1ET E ~ ^ o ^ r ~_ ~.. ,~, ~ s~ ^ ^ ^ ^ *Recycle at the Kern County Special Waste Facility, 4951 Standard Street, Bakersfield, CA 93308. Phone: (661) 862-8922 COMMENTS: W~_C TLY RECYCLE,CARDBOARD,_CANS AND PALLETS. - - --- - -- QUESTIONS R 1 IS CHECKLIST? PLEASE CALL us AT (661) 326-3979 !. p ;.. LOPEZ JR . ESTEVAN w:.,~ Signature Business Site /Responsible Party (Please Print) FD 2155b (Rev. 09/06)