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Home My WebLink AboutINSPECTIONS UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services D 900 Truxtun Ave., Suite 210 ,." Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 SECTION 1: Business Plan and Inventory Program L ;J.. IN/~OUE :A,CILlTY NAME f\- A-v~ "^ lZ ~ *<..Q....> ADDRESS 401 NO OF ~LOYEES z;S-1 Section 1: Business Plan and Inventory Program o COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT ~~07 ORE-INSPECTION C V (C-COmplianCe) V=Violalion ~O ApPROPRIATE PERMIT ON HAND ~ 0 Business PLAN CONTACT INFORMATION ACCURATE ~D VISIBLE ADDRESS OPERA TION COMMENTS )3"" 0 CORRECT OCCUPANCY Z 0 VERIFICATION OF INVENTORY MATERIALS C 11 ZOQ5 ~ 0 VERIFICATION OF QUANTITIES o VERIFICATION OF LOCATION ff" 0 PROPER SEGREGATION OF MATERIAL ~D VERIFICATION OF MSDS AVAILABILITY z- 0 VERIFICATION OF HAl MAT TRAINING ~ 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ 0 EMERGENCY PROCEDURES ADEQUATE ;a--'D CONTAINERS PROPERLy'LABELED o HOUSEKEEPING ~'D FIRE PROTECTION ff"D SITE DIAGRAM ADEQUATE & ON HAND KBF.6013 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 (J hAN k. A~~~TO\J -rrt. Business Sile I Responsible party'(Please Prinl) White - Prevention Services Yellow. Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 ~ UNIFIED PROGRAM INSPECTiON CHECKLIST BAKERSFIELD FIRE DBPI' Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-:2171 . SECTION 1: Business Plan and Inventory Program LM. INSPECTION TIME IPJO FACILITY NAME s I-4AVr...,wt.. to lA-lTec o OF EMPLOYEES $I ADDRESS FACILITY CONTACT G lZ,<"'Co C~c(At\: It- "' IIY'"ROUTINE Section 1: Business Plan and Inventory Program o COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT ORE-INSPECTION . C V ( c=Compliance) OPERATION COMMENTS V=Violalion 1---. - ~O ApPROPRIATE PERMIT ON HAND rn/"o Business PLAN CONTACT INFORMATION ACCURATE lB"'o VISIBLE ADDRESS rv/o CORRECT OCCUPANCY iiY"o VERIFICATION OF INVENTORY MATERIALS ~o VERIFICATION OF QUANTITIES lW"'o VERIFICATION OF LOCATION li?"'o PROPER SEGREGATION OF MATERIAL .. ~o VERIFICATION OF MSDS AVAILABILITY [!('O VERIFICATION OF HAl MAT TRAINING ~ 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES riY"o EMERGENCY PROCEDURES ADEQUATE [iii""" 0 CONTAINERS PROPERLY LABELED - VO HOUSEKEEPING lR"'o FIRE PROTECTION / uV'O SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: o YES ~~ _QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 S .'0 Itfr-7 ClG Fire Prevenlion 11'1 In 1 Shift of Site/Stalion # Inspector (Please Prinll White - Prevenlion Services Yellow - Slalion Copy Pink - BU9ine9s Copy FD2049 (Rev. 02/05) 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 '!~s~<~..-H.o..v~u.v._----_.-it-....._-.._.. ....____._..._._..u__._~~u\~~\u... . --.o..... '71-1 ~l__W l~._l&.__.__i1...__._____.____.__~C~_..._.___._.. FACILITYCONTACT G. r INSPECTION DATE i INSPECTION TIME i IQ_~~~C:>3.L._J_.s=_._....... PHONE No, \ No. of Employees ~?:'5- ou ! 5 ,.__1~t-l_...__.. ....--. Business 10 Number 15-02l- OCrd3 Section 1: Business Plan and Inventory Program ~Routine o Combined o Joint Agency o Multi-Agency o Complaint CJ Re-inspection ( C=Compliance ) V=Violalion OPERATION COMMENTS c V , D ~ D (J 0 ApPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS ~ 0 CORRECT OCCUPANCY ~ 0 VERIFICATION OF INVENTORY MATERIALS ( ~ D VERIFICATION OF QUANTITIES ----. ~ 0 VERIFICATION OF LOCATION -- ~ LJ PROPER SEGREGATION OF MATERIAL ~ CJ VERIFICATION OF MSDS AVAILABILlTYE -----~ ~ 0 VERIFICATION OF HAT MAT TRAINING f:;J 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ 0 EMERGENCY PROCEDURES ADEQUATE ~ 0 CONTAINERS PROPERLY LABELED ~ 0 HOUSEKEEPING ~ 0 FIRE PROTECTION 113 a SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES ANO / - // EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 (;~_ Q vC t~_________....._~ I (j~ ______. Inspeclor Badge No. White. Environmental Services Yellow . Slalion Copy Pink . Business Copy L\ C.) ð3tJ7 . ES f3Ó 7 . CITY OF üAKE.R§JFJiIEl,J1) FiRE DEJP ARTMIENT OIFFJiICE OF ENVTIRONMIENT AL SiERVICES UNlrHlE1UJ PROGIRAM llN§!?ECTION CHECKLIST i iR§ CJ¡)(~$~~I!" A. V~09 yd rr~'ll~JI({)rr9 JaækenfiehB9 CA 93301 (~outine o Joint Agency ¡ /) 'I ~¡(\ \ ~ l-r ~~ \ :¿3S7 JrNSPECnON DATE 3/î /61.- PHONE NO. 'b 3Ç-oL/4/ BUSINESS no NO. 15-210- NUMBER Of EMPLOYEES /2~.'/ /I ".VrøH ,-3&9'1 o Complaint fACILITY NAME ~([LS I~~ ADDRESS 74ö , W;'¡·I1"(~.. uJ.o;;# 17.-- FACIUTY CONTACT h('ej c.~o~r- INSPECTION TiME Sedülf])U1J R: [ffi!ill§nU1Jæ§@ !Pll$!U1J $!!J1l«il nIJ1JV~U1Ja([DIT1' JP'IT'If])~IJ'Æ1IJ1J1J 1G 01 Combined OJ Multi-Agency ORe-inspection OPERA nON c v COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate Visible address Correct occupancy Veri fication of inventory materials leV v~'if:-£t V ,*[)A~ Verification of quantities L. çÇ" GA.<- ç:;;0- - Ö/<- Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate &. On Hand C=Compliance V=Violation A.U1Jy 1h1Æ171Æ1IJ'«fiIf])!illi:\J 'WÆ1i:\JQœ ([DU1J i:\JôQœ?~ Explain: OVœ~ ~([D QuestiOR1lS regMding this i!!lspec~ãon? 1?1ease emR! lRS a~ ~ 66 R) 326-3979 White - Env, Svcs, Yellow - Station Copy Pink - Business Copy ¡ \1 vC.~~ Inspector: VJ - .,:" !3tJ 1 . . CiTY (Q)]F JEJAlihJEJRì.SIFUIEll..jJ)) IFUJRì.JE jJ))IEIP AjRr]flWIE~1r (Q)JFlFICE (Q)JF JE~VllJRì.O~lWJE~1f AIL SIELºlVllCJES lUNllIFll!Ej}) IPJRì.(Q)GJl<S.A!\>~ ll~S!J!'IEC1rll(Q)~ <ClliIIEClihll..llS1r llI'll§ <C1Jn~¡¡)~~U' AV~'9 3\rd TI<'~Œ}Œ}rr9 Iffi~lkelJ"$ffn~~irl19 cCA ~3\3\([])n 123/~¡B¡ '1 Jtø1i fACKUTYNAME ~ Mwc~ ~f&l~ ADDRESS 74ð1 Wá-!tf€ ùJ --#- ¡'"L fACKUTY CONTACT C¡Jß..i~ vJl(..(.r~5 JrNSJP>ECTKON TiME ~. JrNSIPECnON DATE (g Irs fø 1 PHONE NO. Õ3S" - 644, :BUSiNESS [D NO. 15-210- ¡JC-t-J NUMBER Of !EMPLOYEES .3 J:?3lhA 9 S~~~ñi!J)U!l n: JEJilll¡¡)D!I1l~~\:ì IPn~¡¡¡¡ æJIID«!J nU!lV~U!lQi!J)IT1' IPIT'i!J)¡ÆI1'$11J1Jll ~outine OJ Combined! OJ Jloint Agency OJ Multi-Agency OJ Complaint OJ IRe-inspection OJP>EIRA nON C v COMMENTS Appropriate pennit on hand ¡JGY.J fEeM. .¡- s, 'TE" Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials ðß'f"A-, oJf:D (j¡....) ¡N~P£c'ïforJ Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Veri fication of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection II ?LC...d).~ ~¡,),,,fÏ ¡JéML ~ oF <:;~ Site Diagram Adequate &. On Hand C=Compliance V=Violation AU!l~ Du$llZÆJrr«ilaDilll¡¡) w$l\:ìQœ i!J)ITi) mMœ'P: bplain: O)f~~ ~~i!J) CL~ Questñolffis regwdñng iliñs ãlffisJPie~tñŒ}lffi? Pßems® ~mllll M!iì m~ (iõ>lð)ll) 321ð)-3979 White - Env, Svcs. Yellow - Sial ion Copy Pin/¡ - Business Copy !8\1JJ§ñIIM~SS §ñ~e Responsible lParty WINGs rr1I1lspec~o!!':