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HomeMy WebLinkAbout1113 COLUMBUSPrevention Services UNIFIED PROGRAM INSPECTION CHECKLIST) .41s, .t o 900Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ''R'"' r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C. L Co q?'i IN 4 S COMMENTS ❑ ADDRESS PHONE NO. NO OF EMPLOYEES 11 13 U) - Coin -1-,10't ❑ ❑ FACILITY CONTACT BUSINESS ID NUMBER ��� � Nl U C-C-- 2 15 -021- '` Section 1. Business Plan and`In�entory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND �. i. ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE � ��� � Nl U C-C-- 2 ❑ ❑ VISIBLE ADDRESS ` ❑ ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY I �✓ C C ❑ ❑ 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 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / P' In / Shift of Site /Station # Business Site / Responsible Party (Please Print) rcer -euia White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST rLARY 900Truxtun Ave., Suite 210 Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C b L Cr O °)Tl n C S ❑ ROUTINE ❑ ADDRESS PHONE NO. NO OF EMPLOYEES 1 I 1 3 W . Co�u„1�tis ❑ ❑ FACILITY CONTACT BUSINESS ID NUMBER cea S 15 -021- C V Section 1: Business Plan and: Inventory Program ' ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ❑ Business PLAN CONTACT INFORMATION A URATE cea S ❑ ❑ 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 ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # `\gyp White — Prevention Services Yellow - Station Copy Business Site / Responsible Party (Please Print) Pink — Business Copy FD 2155 (Rev. 09/05 "nRrM Prevention Services RAM INSPECTION CHECKLIST 900 Truxtun Ave., Suite 210 UNIFIED PROD Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C L cc) c)-n ❑ ROUTINE ❑ ADDRESS PHONE NO. NO OF EMPLOYEES 3 W . C©)vLh1�� ❑ ❑ FACILITY CONTACT BUSINESS ID NUMBER ©�T` ' �j C-C La S 15 -021- C v 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 ❑ ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ©�T` ' �j C-C La S ❑ ❑ 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 J J ❑ ❑ 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? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # �White — Prevention Services Yellow - Station Copy Business Site / Responsible Party (Please Print) Pink — Business Copy FD 2155 (Rev. 09/05