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Home My WebLink About13703 VIA LA MADERAUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F I D FIRE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPEC ION ITE INSPECTION TIME At: Wf-.Te'Q_ S e.e o c. c- (2 16 ADDRESS PHONE N0. NO OF EMPLOYEES 1 3 7 0 3 l�, 9 C_+� 1Y1 a C-42A ❑ FACILITY CONTACT BUSINESS ID NUMBER t, L P-OS) G Po 15 -021- Section 1: Business Plan and Inventery Pregram OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS C}� ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS f �b ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION -b ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ,Q ❑ VERIFICATION OF HAZ MAT TRAINING Imo` L, "'C3 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED �1 ` y J ^ ✓� ❑ HOUSEKEEPING ❑ FIRE PROTECTION L ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: N� X _:5, .�,, t _' _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu ' ss 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 _ER s F , t_o 900 Truxtun Ave., Suite 210 A Bakersfield, CA 93301 D t Tel.: '(661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPEC ION D TE INSPECTION TIME 'P+L_ /6 - ADDRESS PHONE NO. NO OF EMPLOYEES ❑ FACILITY CONTACT BUSINESS ID NUMBER 15 -021- ec on - 1: Business Plan and Inventory Program ;S= ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v l C= Compliance OPERATION V= Violation COMMENTS E�, ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY rn, ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION F5b ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY El VERIFICATION OF HAZ MAT TRAINING `,Q Cj ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES [j ❑ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED �1 1 7& ❑ HOUSEKEEPING -"'9 ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND nur -euia ANY HAZARDOUS WASTE ON SITE? ❑ YES (/ ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL. US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # 13 ' ss Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05