HomeMy WebLinkAboutBUSINESS PLANWEST CARE OF CALIFORNIA
2901 S. "H" STREET _ ~ _
UNIFIED PROGRAM INSPECTION CHECKLIST
_ SECTION 1 usi Ian and Inventory Program
• FACILITY NAME
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ADDRESS _
____ _ 2 ~.~- L~-5 ~ -------------------
FACILITYCONTACT
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
• Tel: (661)326-3979
INSPECTION DATE INSPECTION TIME
- ~b
--- ~-- ~-__-~ -----.l_S_..r_~ ~ -- -
PHONE No. No. of Employees
15-02 ( -
•
Section 1: Business Plan and Inventory Pn~gram
outine ^ Combined O Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
~' V ~ V=Vio atonnce ~ OPERATION
^ APPROPRIATE PERMIT ON HAND
f.Q ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
-_~ ^ VISIBLE ADDRESS-----__ _----_-_-_-~ _ --_ -_ --
...
^ CORRECT OCCUPANCY I
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
(~ ^ VERIFICATION OF MSDS AVAILABILITYE
^ VERIFICATION OF HAT MAT TRAIN{NG
d ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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LJ --
^ ------ -- ------- ---- __- ------ -------
EMERGENCY PROCEDURES ADEQUATE -- -----
l~ ^ CONTAINERS PROPERLY LABELED
^ I" IOUSEKEEPING
T -
^ - -- --------------- ---
FIRE PROTECTION ---
^ SITE DIAGRAM ADEQUATE & ON HAND
COMMENTS
ANY HAZARDOUS WASTE ON SITE: %YES ~O
EXPLAIN: ~;~N~~111
QUESTIONS REyGARDING THIS INSPECTION? PLEASE CALL US AT ~6C)')~ 3Z6-3979
Inspector ~/L~Badge No.,.
White • Environmental Services Yellow - Stefan Copy
Business Site Responsible Party
Pink • Business Copy
~~
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' - B E a s F , , D 9ooTruxtun ave., Suite 210
--- -_
~- --'- ~~ -~~ ~'~' ~ Fief Bakersfield, CA 93301
SECTION 1: Business Plan and Invento Pro ram ART~r r Tel.: (661) 326-3979
ry g (., ~ Fax: (661) 872-2171 '~
FACILITY NAME
r ' ~ INSPECTION DATE
~~ INSPECTION TIME
I ~
ADDR SS PH NE O. NO OF E~M'jPLOYEES
FACILITY CONS ACT !
VCS Ev ~ CY $ USINESS ID NUMBER r1~
15-021- ~ 3~0'
Section 1. Suslness Plan aid Inventory l~rograr~
^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
L~ ^ CORRECT OCCUPANCY
Lwf ^ ~/ERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~^ VERIFICATION OF MSDS AVAILABILITY /~ ~~ ~ 7
9
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
- /
I~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO
EXPLAIN:
Knr-tiuis
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 ~~ ,,~
Inspector (Please Pr' t) Fire Prevention / 1s` In /Shift of Site/Station # Business Site I Responsible Party ( ease Print
While -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105