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Home My WebLink AboutBUSINESS PLAN 2/17/20121 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B E R S F I o 900 Truxtun Ave., Suite 210 F/ RE Bakersfield, CA 93301 A RrM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME CPL- �A��0. S�Q ► G INSPEC ION D E l / C INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES 110-7 C R -A,N o nj ?Ag-� FACILITY CONTACT BUSINESS ID NUMBER Q 1 �S I C� 7 C.. 15 -021- Section _1: ''Business Plan and ,Inventory" Program -'SZ___RfjUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS l�C) ❑ 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 ^-I ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING C t� ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND rcer -ouia ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 c41,t _ Q • Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station # Busi s Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services R. _ ER S_F_ t_ E�1_D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D v AR 1'M u r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME e INS�710N DA E rL(( INSPECTION TIME ADDRESS '7/0 PHONE NO. NO OF EMPLOYEES I o "7 C P Aro b O N 'LA FACILITY CONTACT BUSINESS ID NUMBER c�S I CA 15 -021- Section 1: Business Plan and Inventory Program 'El, ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND 'LA ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS —9 ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL -JQ$ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING Q� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES --M ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑^ ❑ HOUSEKEEPING E ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND nnr -Wld ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -397.9 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu si s Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105