HomeMy WebLinkAbout13300 WARRENTON AVENUEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
rAR D 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
NSPEFTION 4ATE
INSPECTION TIME
L �Ar� Eo -O►GE
)711 a
❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES
1 S 3 _0(n t� n,ae ,-r o N t%v (.
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT
BUSINESS ID NUMBER
311,` 2 -os)c
15-021 -
C
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Section 1. Business Plan'and Inventory Program
COMMENTS
(Q ROUTINE
❑
COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
48
,v
11
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
A3
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
AZ
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
r f i C
W
❑
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
I —uia
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # 13 ' ss Site / Responsible P_ artyy (Pl ease Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST rAR o 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPEfTION DATEI
INSPECTION TIME
t WAT�,IL Spa -O)GE
��/ ICJ
❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES
p0 ��eI2,Qe t o n ib V 4
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT
BUSINESS ID NUMBER
3ILL_ c
15-021 -
ro=
. ,Suction 1® .X13;usiness Plan` and= °Inventor =y Program,
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
y�
❑
Business PLAN CONTACT INFORMATION ACCURATE
El'.
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
—'E�
❑
VERIFICATION OF MSDS AVAILABILITY
IZ
❑
VERIFICATION OF HAZ MAT TRAINING
y.\ C—
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
-cg
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
v,Q
V
❑
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 / I" In / Shift of Site /Station # 13 ' ss Site I Responsible Party (Please Print)
White - Prevention Services Yellow -Station Copy Pink - Business Copy FD 2155 (Rev. 09/05