HomeMy WebLinkAboutBUSINESS PLAN 10/17/2006UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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~." Prevention Services
A F x s ~, 0 900 Truxtun Ave., Suite 210
FARE Bakersfield, CA 93301
aRrM _ --Tel.: (661).326-3979
Fax: (661) $72-2171.
FACILITY NAME ,/ -_ ~ ~
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ADDRESS - ~-
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FACILITY CO ACTS. _ ,
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15-021- ~G~'j ~~'
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C Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C- V l C=Compliance OpERATiON
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
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'AQ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
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^ VISIBLE ADDRESS
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^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS /
^ VERIFICATION OF QUANTITIES ~
^ VERIFICATION OF LOCATION
~` ^ PROPER SEGREGATION OF MATERIAL
~ ^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
~I ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE ~ '° 2DO
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTEC710N
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site / Responsib a Party ( e e Print)
^ YES ^ NO
White -Prevention Services . Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
`V~y` T~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT
b OFFICE OF ENVIRONMENTAL SERVICES
~' , y~ UNIFIED PROGRAM INSPECTION CHECK[.IST
~wE a~„i~ 1715 Chester Ave., 3rd i'loor, Bakersfield, CA 93301
FACILITY NAME ~~ J~ ~~~~ INSPECTION DATE ~~~~3~°3 _
ADDRESS ~-2 IZJ~oTJ~ ~ l~y PHONE NO. 327 -~~
FACILITY CONTACT LIZ ~/~~~-rte BUSINESS ID NO. IS-210- ~~3Z-
INSPECTION TIME ZO M~~l NUMBER Of EMPLOYEES 20
Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
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
Verification of Naz 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
Any hazardous waste on site?: ^ Yes No Q~~ ~~
Explain:
ti.
Questions regarding this inspection? Please call us at (661) 326-3979 Busines ite Responsible Party
Whitr -Env. Svcs. Yellow • Station C ~ ~a " ~
opy Pink -Business Copy Inspector:
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CITY OF BAKERSFIELD FIRE l)EP ARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave" 3rd Floor, Bakenfield, CA 9330ÞØ:2-
FACILITY NAME-ra-VX'tVrJ Sút<f..f:£è.V ú::~INSPECTION DATE ,ò I~ t !1..t:Juù
ADDRESS 4 2..'-D mJ~TVrJ ~re-- (7..ð PHONE NO. '3'-7,>" 316
FACILITY CONTACTM~ Þ'7Q6)@L. BUSINESSID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
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Section 1:
Business Plan and Inventory Program
:!i-Routine
o Multi-Agency
o Complaint
o Combined
o Joint Agency
ORe-inspection
OPERATION C V COMMENTS
Appropriate pennit on hand ?(~é CCÞ"'IPLC-.e APf"cA"íId^i
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Business plan contact infonnation accurate " W ..fC~ Ree' f) IN ~. 1lAt:Þ 1(.,..
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Visible address ., .
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Correct occupancy /
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Verification of inventory materials / ,.r'~ I"~
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Verification of quantities ,
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Verification of location '\;
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
:
Emèrgency procedures adequate
Containers properly labeled
.
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand ?Lé--c. stE f?æ.ðJ,4}t; ;:;,7 AfPU( 4T7orJ
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
o Yes ~
Questions regarding this inspection?, Please call us '.~t (661) 326- 3 97 9
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White - Env. Sv~' Yellow - Station Copy:
Pink - Business Copy
Inspector: W ' I\! IE- '}¡