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HomeMy WebLinkAbout2100 BRICYN LANE_HMBP 4.29.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services A e R S F, 0 900 Truxtun Ave., Suite 210 F /RE Bakersfield, CA 93301 ARfM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE ION D TE INSPECTION TIME ADDRESS 2 L PH NE NO. NO OF EMPLOYEES Oo�1 L av 7� ❑ FACT ITY CONTACT ne 5� 2_6 BUSINESS ID NUMBER 15 -021- I Section 1�. > Business Plan and Inventory_Peogram , N ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS 11 ❑ APPROPRIATE PERMIT ON HAND 7� ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS Cg ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITYh J` ❑ ❑ 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 ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 11--_1 - `% r. Vim- %" G Inspector (Please PrintT Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) -1 White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST prevention Services e E R s F ,_ ,_0 900 Truxtun Ave., Suite 210 -M - -FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ''RrM T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPEC ION D TE �Z �J INSPECTION TIME ,Q APPROPRIATE PERMIT ON HAND ADDRESS PH NE NO. NO OF EMPLOYEES FACILITY CONTACT j) `z BUSINESS ID NUMBER 15 -021- r , �'Sectlon 1 Bushes PlanandInuentory Program . h � ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V (C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑_i ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS C ❑� ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY L ❑ ❑ 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 , ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) I White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B K E R s F, e 0 900Truxtun Ave., Suite 210 - - -- - - - - -- — - -_ -=j III FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° PARTM . r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE t INSPECTION TIME t+��C.G �S t-t ?5111 r' ❑ ADDRESS 2 1 �r� PHONE NO. - O OF EMPLOYEES oo f ty ❑ • ❑ FACILITY CONTACT �7 -2 BUSINESS ID NUMBER 15 -021- �Sectionn 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 ❑ • ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ ❑ VISIBLE ADDRESS n❑ ❑ CORRECT OCCUPANCY !ff ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY `i �., rar. ;. C, f 3� ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ C.O' HOUSEKEEPING ,(_ j /� yy _ jj ❑ ❑ FIRE PROTECTION , ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND KbF-WU ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print)f Fire Prevention / I" 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