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HomeMy WebLinkAbout1141 COLUMBUSUNIFIED PROGRAM. INSPECTION CHECKLIST, SECTION 1: Business Plan and Inventory Program 8 E 7! F I D FIRE D ARrN Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAM, R1 L INSPECTTIIOq� DATE 51/ INSPECTION TIME 1cs TT S l� S rl2 wT ..� ," i / S ' 0-L-) — (bp ADDRESS W Cv1 �tis PHONE NO. q 327' / SZ NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15 -021- ' VISIBLE ADDRESS Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ?-d�z, �? APPROPRIATE PERMIT ON HAND / S ' 0-L-) — (bp 1 3 S5 ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES '�Q. ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY -ti ❑ VERIFICATION OF HAZ MAT TRAINING \ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -b ❑ EMERGENCY PROCEDURES ADEQUATE trZ ❑ CONTAINERS PROPERLY LABELED �8. ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND net -oust ANY HAZARDOUS WASTE ON SITE? ❑ YES _�&0 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1st In / Shift of Site /Station # 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 JLAR S F , „ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 rM r Te l.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAM R L T C= Compliance OPERATION V= Violation COMMENTS INSPEFTIO DATE 3/ INSPECTION TIME 1 1cE T" 5 re 3 w7 N 4 Business PLAN CONTACT INFORMATION ACCURATE .5) v ❑ ADDRESS I t� 0 6As ❑ PHONE NO. 3Zl) -9 Sz NO OF EMPLOYEES 5 FACILITY CONTACT VERIFICATION OF INVENTORY MATERIALS L•J� 1 f BUSINESS ID NUMBER 15 -021- VERIFICATION OF QUANTITIES. �Qo ❑ VERIFICATION OF LOCATION T' -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 V Q) 3 S5 ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY Ik�J ❑ VERIFICATION OF INVENTORY MATERIALS L•J� 1 f ❑ VERIFICATION OF QUANTITIES. �Qo ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL '2' ❑ VERIFICATION OF MSDS AVAILABILITY C9 ❑ VERIFICATION OF HAZ MAT TRAINING -- 0-- •0-- VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES v. !�+ ❑ EMERGENCY PROCEDURES ADEQUATE (r&b ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND rdaaduF] ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES kQfN0 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 Pink — Business Copy FD 2155 (Rev. 09/05