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Home My WebLink About1202 KINGS ABBOT WAYUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B_ B R S F t o 900 Truxtun Ave., Suite 210 jjj�FIRE Bakersfield, CA 93301 A R TAIS Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME CbIK -23 INSPECTION DATE (o-a7- tat( INSPECTION TIME COMMENTS ❑ 110D ADDRESS i 2 PHONE NO. NO OF EMPLOYEES 0 1 Zp iic N S A6,04 LzMtI, BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT L.10 BUSINESS ID NUMBER 15- 021 - 5jy(o,�_ VISIBLE ADDRESS M hay v- ^r,rm, �r ROUTINE El COMBINED 11 JOINT AGENCY MULTI-AGENCY El COMPLAINT 0 RE-INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE I� ❑ 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 Anr -ouij ANY HAZARDOUS WASTE ON SITE? ❑ YES � NO EXPLAIN: �N ryA�� S i � ND RmmArw± 0 �-►5t 0 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 '36 - mx'(1- IS Q Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 3 E R s F , e 0 900Truxtun Ave., Suite 210 - - - --- - - - -� -- — — _ Flee Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program D ARTM ,Nr Tel.: (661) 326 -3979 Fax: (661) 872 -2171 . FACILITY NAME INSPECTION DATE INSPECTION TIME Cbk -�3 to -a�- 2011 ❑ APPROPRIATE PERMIT ON HAND ❑ ADDRESS PHONE NO. NO OF EMPLOYEES Z0 2 L 1 b� n ❑ v FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 5(�DS _'$ectio- 1: Business Plan and Inventory. Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION I C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE q ❑ VISIBLE ADDRESS O ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS 1 ❑ ❑ 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 rcnr -solo ANY HAZARDOUS WASTE ON SITE? ❑ YES B= NO EXPLAIN: (AoJ Y1n/id�Ne k SI ?P AYAa AWe � U �i1 ` fi 'tblP�-IP� QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) While — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105