HomeMy WebLinkAboutBUSINESS PLAN (2)I
RELIA"B LE MOVING
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BAKERSFIELD FIRE-DEPT
Prevention Services
UNIFIED PROCR~4M INSPECTION CI-IECKLIST~ B 8a~i~' D 900TruxtunAve.,Suite210
r:a~ k.. -_; _x -::.> ::_•.~ -:.:. _ :,<- -:~-::. .. ~: ~~rur r Bakersfield, CA 93301
SECTION 1 : SliSin@SS Plan Bt1Cl II7V@t1t01')/ Pt'OgCdl'1'1 ~ Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
~
ADDRESS HONE NO. O OF EMPLOYEES
~ . ~ ~ ~~c (Z,tO G,~t - 35~ -V» Li t~
FACILITY CONTACT USINESS ID NUMBER
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~ Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V
^ c=compliance OPERATION I
~ ) ~
V=Violation
APPROPRIATE PERMIT ON HAND
COMMENTS FC?~ -
^ BUSIt1ASS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL ~
l - -
\_
~l ^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED ~
^ HOUSEKEEPING j
i
^ ^ FIRE PROTECTION I
^ SITE DIAGRAM ADEQUATE 8 ON HAND
--.
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / 1°' In /Shift of Site/Station # siness Slte/ oo Site Respon Party (Please Print)
^ YES ~ NO
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. ly2/OS)
+ RELIABLE MOVING INC _________________________________ SiteID: 015-021-001191 +
Manager BusPhone: (661) 397-4521
Location: 4350 WIBLE RD Map 123 CommHaz High
City BAKERSFIELD Grid: 13C FacUnits: 1 AOV:
CommCode: BFD STA 07 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
STEVE GUTIERREZ / OWNER /
Business Phone: (661) 397-4521x Business Phone: ( ) - x
24-Hour Phone (661) 809-0666x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact STEVE GUTIERREZ Phone: (661) 397-4521x112
MailAddr: 4350 WIBLE RD State: CA
City BAKERSFIELD Zip 93313
Owner STEVE & MARTHA GUTIERREZ Phone: (661) 589-6872x
Address 13101 BRIMHALL RD State: CA
City BAKERSFIELD Zip 93314
Period to TotalASTs: = Gal
Preparers TotalUSTs: ~ _ - Gal
Certif' d: RSs : No _
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and comp) e.
~~ ~~~~~
Signature ~ Date
ENT'D Mq R 2 p 20D6
-1- 03/09/2006