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HomeMy WebLinkAboutBUSINESS PLAN 3/31/2008Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST , H E.R s F , n 90o Truxtun Ave., suite 210 -- ._..~.,._. _ _ _--_~ -:_ _.w__ ----~ ~--_-~ ___. ~._._ - -- FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ;; ''R"" ' Tel.: (661) 326-3979 i, ~ Fax: (661) 872-2171 FACILITY NAME e q INSPECTION DATE INSPECTION TIME i ADDRESSr~ /~ // /~ ~z vv~YGUDLQ ,~ PHONgE. N0. ~i < "~~~vO O OF EMPLOYEES FACILITY CONTACT / BUSINESS ID NUMBER 15-021- UaD,t~'~ ~~-G~ J~Gc S Section 1: Business Plan and Inventory Pr©gram ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ .APPROPRIATE PERMIT ON HAND ^ BUSII1eSS 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 HAZ MAT TRAINING zno~ ~/ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES L!1 NO EXPLAIN: K~sr-tiui QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~~ In /Shift of Site/Station # Business Site I Respon Ible Party (Please Print) ~ILLG~ ~~~ '~17 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09!05 UNIFIED PROGRAM INSPECTION CHECKLIST' ~-.....•J.~,.,,.-~4i":'CxF.... ''. .:... ,.:.tta}~.:',. s':. -: .. ..: ',.,e.i.~ .. n'.,.~.. '., r a.,_ .., Y-'.~. ..:L. F ... gyn.. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~~R~ D 900 Truxtun Ave., Suite 210 ~t>rr r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAQQME (n~ ~UAK~~1 ~~ ~l Q.~ ~~i¢YiO~ `7 NSPECTION DATE I ~~lJG~G INSPECTION TIME ~a~ n~r/d 3' . ADDRESS 7Q'tz ~ES7~vo~...o l),e. , HO NO. :3 8 0 ~zlv ~ O OF EMPLOYEES FACILITY CONTACT~1 ~ ' ~ USINESS ID NUMBER 15-021- ot~ o.Z~ a rS [ /E .~/ B~r Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (c=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND J Itl ^ BUSIt12SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCGUPANGY ^ VERIFICATION OF INVENTORY MATERIALS T'~ S E P 2 ~ 2006. ^ VERIFICATION OF QUANTITIES Cd' ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~ , ,/ ^ VERIFICATION OF HAZ MAT TRAINING L K - / Imo' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE' ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ,,.,/ LYJ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES Lrl N~ EXPLAIN: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Q~~~ ~i aster S 4 -- ,R ~, Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site/School ite Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rav. 02/05) .~ UNIFIED PROGRAM INSPECTION CHECI(LIST SECTION 1: Business Plan and Inventory Program art a f!N/ ~Rr~r t BAKERSFIELD FIRE DEPT Prevention Services 900 Tnixtun Ave., Suite 210 Bakersfield, CA 93301 'Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ~ HONE NO. ~~ NO OF EMPLOYEES ~s ~o ,~ . ~~~z - . FACILITY CONTACT USINESS ID NUMBER 8~ 15-021- a~ ®.Z [.Ge~~/ t3 , Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (c=compliance OPERATION V=Violation COMMENTS ____ ___ _________ ^ APPROPRIATE PERMIT ON HAND ^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE CFY ^ VISIBLE ADDRESS (~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS L9d' ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION L~ ^ PROPER SEGREGATION OF MATERIAL Ll ^ VERIFICATION OF MSDS AVAILABILITY r I!~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION GY ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES CVO EXPLAIN: _ _ •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention ! 18` In / Shift of Site/Station # Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow - Station Copy Pink -Business Copy FD2049 (Rev. 02/05) --;::-. UNIFIED PROGRAM IN'ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 -----_._~_..- - ----------n-~r---------- ,. ~ l\ t ~Q" - INS~E TlfDATE II r¡¿j 02._ PHO E N _ 3'7%-/2t? INSPECTION TIME -~---- No, of Employees FACILITY 12... ---_.~.._----_. Business ID Number 15-021-000 2jÐ , , - Section 1: Business Plan and Inventory Program --- - , C] Routine C] Combined C] Joint Agency C] Multi-Agency C] Complaint C] Re-inspection C V ~D ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND --~---------------------'---------- -------------------------------------------------------------------------- I!f C] BUSINESS PLAN CONTACT INFORMATION ACCURATE --=~~~~~:~:==~~n:~:_~ :-/r~::=:~~__:-:=~=:::__::-===~~:=~:n~~~=_-s:-===~ C] CORRECT OCCUPANCY ~ 1"/ fY} 0 é) fa 7~- VERIFICATION OF INV~NT~RY MATERIAL:-------- I----------------:;~/:~-W------- -,-,- _n_____ C] VERIFICATION OF QUANTIT~ES ------------- (------ --n-----~(-~---.-t..-1-- ------------ , ----r--------------------c'-------------_..~ ------------------------------------------------------- ---------- ~ C] VERIFICATION OF LOCATION ~- PROPER SEGREGATION OF MATERIAL ~C] C] VISIBLE ADDRESS -----------------..--.---- ----------------.-- .-------------..------- -------.---..------------- --.--.--------------- ----.----.---....---..---- VERIFICATION OF MSDS AVAILABILlìYE ~------- ~ C] VERIFICATION OF HAT MAT TRAINING .---.-----.. .------.--- -----.-.------------- ----.-.--.-------------------.--.-------- ----------.------.---- ----------.--------.--------.-------.--------.----.---.-----.---- C] ~C] ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .--..-------.--.---- -_._---------_..__._-_._.._--_.__._--_.-._~-------------~----- EMERGENCY PROCEDURES ADEQUATE ---..---.--.---..- =--=--=~~==~~~~==~=-~ --------------------------------------7-- ------.------------..-- CONTAINERS PROPERLY LABELED ~----------" ~ C] HOUSEKEEPING -~-~------~~_. --..-----.- ¡g/ C] FIRE PROTECTION ~ C] SITE DIAGRAM ADEQUATE & ON HAND ---.------ -..--------------.------.----.-----.-.-----.--- .---.---------- ANY HAZARDOUS WASTE ON SITE?: C] YES ~O EXPLAIN: QUE!IT'ONS REGARDIN'/J'¡:;:¡a PLEASE CALL US AT (661) 326-3979 ~ ___________ 17 Inspector Badge No, While . Environmental Services Yellow - Station Copy -,--~--~--- Business Site Responsible Party Pink - Business Copy q ~ ,)'z;- e -, <;;. ;;;¡.. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 8A~6e":>FtE(.O FI IE'U3 .:tt Cf ADDRESS 7q /2.. W£5TfA.:N7LO D£.., FACILITY CONTACT hL..é1t/ ~~e7Z..7S INSPECTION TIME INSPECTION DATE /2 - 3 - 7' J" PHONE NO. 393 - /2 e:, ð BUSINESS ID NO. 15-210- 00 028'0 NUMBER OF EMPLOYEES .9 Section 1: æ(' Routine Business Plan and Inventory Program D Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection \ OPERATION C V COMMENTS Appropriate pennit on hand if Business plan contact infonnation accurate C Visible address C Correct occupancy ( Verification of inventory materials C Verification of quantities C. Verification of location C. Proper segregation of material C. Verification of MSDS availability V Verification ofHaz Mat training C Verification of abatement supplies and procedures Ie. Emergency procedures adequate C Containers properly labeled C Housekeeping C Fire Protection C Site Diagram Adequate & On Hand C C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o White - Env, Svcs, YeHow - Station Copy Pink - Business Copy t2t6v ~ Business Site Responsible Party Inspector:~ ~ Questions regarding this inspection? Please call us at (805) 326-3979