HomeMy WebLinkAbout525 E CALIFORNIA AVENUEr-
.,
,
UNIFIED PROGRAM INSPECTION CHECKLIST~~
------ -~ _ _.__~._ _. _ _ - _ _ __. . ~ __ ----- ______ ___... _- 3 ~
SECTION 1: Business Plan and Inventory Program ;~
~
P F: R 5 P I D
fNPE
n aRrM
~
Prevention Services
900 'IYuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
FaX: (661) 872-2171
FACILITY NAME
-'~to~~O~N ai~ INSPECTION DqzE
j2-~s -oY~ INSPECTION TIME
/~/,33_
ADDRESS
S 2. ~' iL . C~4-L/ % Q/CNl ~Q PHONE NO.
(~ 31- ~ yso O OF EMPLOYEES
'2-
FACI~ITY CONTACT
/~. ~-~.Tl~ /tQQ~I C~l.~/~.~- BUSINESS ID NUMBER
15-021- U 0~Cj 2 Z.
Section 1: Business Plan and Inventory Program
ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT 0 RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND '
^ BUSIfI@SS 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
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION j~ X% JNG~//S/7/~(,f~-~ 1 S „~ ~`~1 O,
bki df D %
^ ^ SITE DIAGRAM ADEQUATE 8 ON HAND '~ G~QL~- IJL/4Uj~~ ~'~/1, S/r/~// [,/L ~
ANY HAZARDOUS WASTE ON SITE? ^ YES L7 NO
EXPLAIN: N~Ci ~'1~ GOr1~T~J~i1 //TJ/' ~ ~' S/G ~L ~7 ~~/~/1J%-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~
~~urr~o~Y G~-c.,4 c~ ~ 2 l~'-f-
Inspector (Please Print) Fire Prevention / 1°` In / Shift of Site/Station # ` Business Site / R ponsible Party (P ase P' )
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
~
.r
+ MOULDING BIN _______________________________________= SiteID: 015-021-003022 +
Manager : RUTH RODRIGUEZ
Location: 525 E CALIFORNIA AVE
City : BAKERSFIELD
BusPhone: (661) 631-1450
Map : 103 CommHaz : Extreme
Grid: 29A FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:
DunnBrad:
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title ergency Contact / Tit~
e
RUTH RODRIGUEZ / OWNER JOS RO /
Business Phone: (661) 631-1450x Business P 61) 631-1450x
24-Hour Phone : (4~~ )2D~f -4?~'~"x G~~~~ 24-Ho ~hone : - x
Pager Phone :( ) - x P er Phone :( ) - x
+---------------------------------------+--------------------------------------+
~ Hazmat Hazards: Fire Press ImmHlth ~
+---------------------------------------- --------------------------------------+
Contact : RUTH RODRIGUEZ Phone: (661) 631-1450x
MailAddr: 525 E CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93307-1141
+---------------------------------------- --------------------------------------+
Owner RUTH RODRIGUEZ Phone: (661) 631-1450x
Address : 525 E CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93307-1141
+---------------------------------------- --------------------------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+---------------------------------------- --------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
+______________________________________________________________________________+
-1= 08/22/2008