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HomeMy WebLinkAbout1425 H StreetUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program �• Prevention Services R , AR S F I_ E, p 900 Truxtun. Ave., Suite 210 FiaE Bakersfield, CA 93301 DErPARTM rNT Tel.: (661) 326 -3979. '1 ,E_ E"GZ.'TVi , m (f?S1z3 l Ij Fax: .(661) 872 -2171 FACILITY NAME 2� INSPECTION DATE INSPECTION TIME IN1 S`i© ADDRESS 0� / Z Z �J�A�c1IG5 PHONE NO. v3� tl(veo W NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER '1 ,E_ E"GZ.'TVi , m (f?S1z3 l Ij 1 15 -021- Skflo' 1 �BUsinessrPtan andain�entd'e 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 ACCURATE ❑ VISIBLE ADDRESS ?)Q- ❑ CORRECT OCCUPANCY tQ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION'OF QUANTITIES 1Z' ❑ VERIFICATION OF LOCATION ED ❑ PROPER SEGREGATION OF MATERIAL "Lys ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED y ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: > M' QUESTIONS REGARD=TH1 : P EA SE. ALL US AT (661) 326 -3979 1 � Inspector (Please Print) Fire Site / Respo i e Pa (Please Print) " ft Business 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 B A- F:" R s F I E I. 0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 c ARTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME A�`�► -� �sro�c- INSPECTION DATE 5- 7, q -moo INSPECTION TIME : S ADDRESS / 2 S . rl ST. �a Sn-� -3 4 PHONE NO. 33- l (o as NO OF EMPLOYEES S FACILITY CONTACT ZIJ� J.aIA,) LNC�— BUSINESS ID NUMBER 15 -021- �e _ Section 1 Business Plank ands 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 ❑ VISIBLEADDRESS ❑ CORRECT OCCUPANCY OR ❑ VERIFICATION OF INVENTORY MATERIALS ® ❑ VERIFICATION OF QUANTITIES Q�7 ❑ 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 �I ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION V] ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING T SPEC r O Inspector (Please Print) Fire Prey "e n / ❑ YES 15,N0 PLEAS CALL S AT (661) 326 -3979 Shift of Site/ ation # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05