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HomeMy WebLinkAboutBUSINESS PLAN (2)~ ~ F ~ 'SAN JOAQUIN HOME CARE -- - 2430 G STREET Bakersfield Fire Dept. UNIFIED PR®GRAM INSPECTI®N CHECK~.IST /~ Enironmental Services - . _ _, _ - ; ~ .. _ - 1715 Chester Ave SECTION 1 Business Plan and Inventory Program ~ Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ INSPECTION DATE INSPECTIOI e ADDRESS PHONE No. No. of Emplc 24.3 a ~. 3 ZZ- 7a~ ~ 2 ------------------------------------------------ -- FACILITYCONTACT Business ID Number ~~;~ ~~~~.,, 15-021- - Section 1: Business Plan and Inventory Program ^ Routine ^ Combined ^ Joint Agency ^MuRi-Agency ^ Complaint ^ Re-inspection C ~ \V=VioationnCe~ OPER~ITBON COMMENTS ,~ ^ APPROPRIATE PERMIT ON HAND l~ ^ BUSINESS PLAN CONTACT 4NFORMATION ACCURATE IJ ^ VISIBLE ADDRESS l~ ^ CORRECT OCCUPANCY IN ^ VERIFICATION OF INVENTORY MATERIALS _ _ ._ _ -. ~^ VERIFICATION OF QUANTITIES ~^ VERIFICATION OF LOCATION ~^ PROPER SEGREGATION OF MATERIAL L~ ^ VERIFICATION OF MSDS AVAILABILITYE i~ ^ VERIFICATION OF HAT MAT TRAINING r^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES s / ------ ------- --- -.... ---- - -- - . _ . _...._..-- - - --- -- -- -- - --- - ---- - -- _ - -...-------- -- ---- - - ---- C~' ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED C~ ^ HOUSEKEEPING L7 ^ FIRE PROTECTION ~r -~/-- ----------------..--------- -------------- I --------- --- --------- --____---- -------- _------ ---------._.. ~~C'J ^ SITE DIAGRAM ADEQUATE Ei ON HAND ANY HAZARDOUS WASTE ON SITE: EXPLAIN: ^ YES [] No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~6F)'I ~ 326-3979 -~Q'e~-e``~~-~ ------ -----------------------------_-- Inspector (P1eae;e Prini) Fire Prevention 1st-In7Shift of Site White -Environmental Services Yellow -Station Copy - -~ ~ siness Site Res onsible Party (Please Pnnt) 8 N Pink -Business Copy 39~fN ~ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST e . e R S ~_, 90oTruxtun Ave.,.suite 210 a __M_.~.~, __~ , ~_..~~~~ ~a~ bm ..~.rn-~~.___._-w:_ _.._-~ ~.._~ ~ _ _.~ ~..~~ _~._~..,,.w FARE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "~'M Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME .~ o INSPECTION DATE ~a INSPECTION TIME i rocs t N'~~'a ADDRESS PHONE NO. NO OF EMPLOYEES `~ -~f7? FACILITY CONTACT USINESS ID NUM8 1 5-021 .~ r~ Section 1: Business Plan and Inventory Program L9 ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS (W ^ 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 ~ T~P~ A ~! Q ~ ~ ~On, I u rl ! ! ~ ~+ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES l7 ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ' ANY HAZARDOUS WASTE ON SITE? ^ YES Ili NU EXPLAIN: QUESTIONS REG~AR~DING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy _ FD 2155 (Rev. 09/05 Bakersfield Fire Dept. L9NIFIE® PROGRAM INSPECT'10N CFIECKLIST ! Enironmentai Services ,, ~ >~ , ~ _, ~ 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 • Tel: (661)326-3979 • FACILITY NAME INSPECTION DATE INSPECTION TIME --s-~ lv ~---- ~ ---. _ ---- ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number `dew : ~ eo.Ts 15-021- d O ~ D -LL Section 1: Business Plan and {nventory Program L,Yrtoutine ^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection C V IV=Vioationnce} OPER~-TION COMMENTS ~^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE l~ ^ VISIBLE ADDRESS L7 ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES ~^ VERIFICATION OF LOCATION f------ --- --- -- -- -- __ __...---- - --------- ------ ------ - -----__ - -- - _ _ ---- .._.._ ._. _------- ---- --- LN ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ~ L;d ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ---- --- - - -- -- ---- - N _. ^ ^ EMERGENCY PROCEDURES ADEQUATE ~' •~~ MAY ,1 1 2QU~ ©" ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~/~ ---- --r----------- - --- - ---- - -- -- -- - --- - _ __ _ __..----..----- ------------ L~ ^ FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ll~IVO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy Business Sit Res onsible Party (Please Print) m g N Pink -Business Copy ~