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HomeMy WebLinkAboutBUSINESS PLAN/ ~ r CAL WATER SERV CO. - STA - ; GOSFORD & PACHECO ROAD --, ,~ ~.~! ~~~~ ' ~~~ (~~ 4 ~~ •f UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program A~~..//~ £F , ," .._F cu<;h . BAKE1tSFIELD FIRE DEPT Prevention Services s p ~ ~~~~ 900 Truxtun Ave., Suite 210 ~~f~ ~ A 93301 Bakersfield, C , Tel.: (661) 326-3979 Fax: (661) ~72?2171 FACILITY NAME INSPECTION DATE IN,9PECTj'ON TIME.,,`;;„~r+:, cT~~ r ~t U,.~ OS' n.~. ~ /f /~ ADDRESS ~ ~~ ~ ~ ~ ~ O t~MPLQYEE`S '~ ~ ~ - ~ _! FACILITY CONTACT USINESS ID NUMBER ;.':. ,;y:. ~_. 15-021'= tl,E1 ~U ~ 7 r .~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ~.. s+ :~ ,. ~F }~~^ ~ ~.2 . • ..~, ~~' :ysr_ .iz': O RE-INSPECTI ~ ,;'-'` •C. V ~ C=Compliance OPERATION COMMENTS V=Violation ___ _ ____ `' ^ APPROPRIATE PERMIT ON HAND O6 (] BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^' VISIBLE ADDRESS ^ CORRE`CIOCCUPANEY ~;; ^ VERIFICATION OF'I-dVENTORY MATERIALS ,:> ^ VERIFICATION OF QUANTITIES '~~°"c ^~""~~~ ~ ~ ,, ~' ^ VERIFICATION OF LOCATION f; ~~~. cis ~- ^ PROPER SEGREGATION OF MATERIAL ~L, '' ~~ ^ VERIFICATION OF MSDS AVAILABILITY - 's"' •' ~"~- "' -. ^ VERIFICATION OF HAZ MAT TRAINING ,~r!.{~° 1. c - r ^ ;:'.VERIFICATION OF ABATEMENT SUPPLIES AND /PROCEDURES .` ^ EMERGENCY PROCEDURES ADEQUATE ;f ; .~'_'~ , ^ CONTAINERS PROPERLY LABELED •~~~'%' p~+ c e ~ - ' . T + ^ .HOUSEKEEPING .t.Y' ~ ~ ' .~, . :~ FIRE PROTECTION::: ' ' .. r ' . ~'tC `"~SI7E DIAGRAM ADEQUATE 8 ON HAND . ANY HAZA~RD,OUS WASTE ON SITE? ;:~~-1~'YES ~^ NO - •,. EXPLAIN: _ _ _ ---,------ x ,r. .. n s ,, r. i s t ..*'~yf. E _ ___~-___ _..__~_ •~ QUESTIONS REGAR,/D~ING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s~ In /Shift of Site/Station # While -Prevention Services Yellow -Station Copy ~,:< !; :~> `~~ ..~ e ;;. Business Site/Sch ' e sponsible Pa y (Please Print)- :'~:'' °y~r.l ~ ;}~/ ?;` ~~~ .-,,: ,•~ :"," ''~ Pink -Business Copy FD2049 (Rev. 0?JOS) ~.k '~ . A UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME // -- - - --C,G~. l ~v tR. ru , a~---- U%A'~2 _. Sd72.~~ -=--- C U ~~-- ~='P -- - ADORESS FACILITYCONTACT ~T .T', TIME Vumber --~---- -~----- 15-021-p~ IJi? Section 1: Business Plan and Inventory Pn~gram ~. i ; ., ~ -' . ~ . ~.. T 'Routine O Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V OPERATION I Pl nCe COMMENTS \V=Vioa / on LfI ^ APPROPRIATE PERMIT ON HAND ,l ^ - ^ -- - BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS J ,v ^ ^ VERIFICATION OF QUANTITIES V ~' ^ ^ VERIFICATION OF LOCATION ~ V ^ PROPER SEGREGATION OF MATERIAL - - ^ - VERIFICATION OF MSDS AVAILABILITYE -- --- -- -- " - ~ --- - - 1 D ^ - --------- VERIFICATION OF HAT MAT TRAINING ---~ -- Cl - --- ~-- --- --------- - - I ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ - -- 'C ~ ' ^ ^ EMERGENCY PROCEDURES ADEQUATE ` ~~ --f- 17 - ^ ---------- ------------ CONTAINERS PROPERLY LABELED --------- -,~i ------- ------------------------------- ^ ^ HOUSEKEEPING ~~ ^ ^ N ------ -------- FIRE PR TECTI -----~------- ---------- --------- O O ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ~'`~~ ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO ~ ~ ~`°~ I S~c~,~ (~ r.~ ~, EXPLAIN: ,,~ ~'`~ 1..:.J t,.~~' QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (881 ~ 328-3979 -----~~~---~------.__--- ~~ ~7 ------ Inspector Badge No. Business Site Responsible Parry White • Environmental Services Yellow -Station Copy Pink -Business Copy ~~