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Home My WebLink About2219 BRUNDAGE LN_HMBP 5.5.10UNIFIED PROGRAM INSPECTION. CHECKLIST SECTION 1: Business Plan and Inventory Program ti INSPECTION DATE INSPECTION TIME ^'7 f\i R G_ s- - ol o Prevention Services B A FRS .� , E . D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D �ARTM Tel.: (661) 326 -3979 15 -021- Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ^'7 f\i R G_ s- - ol o O ADDRESS Z Z 1 tv��G =` °13 PHONE NO. Z 5 -33'1 NO OF EMPLOYEES 'Zo FACILITY CONTACT BUSINESS ID NUMBER Pt2 r— 15 -021- t Sectlon�1k BUsiines°o Plan' Inventory Program g ROUTINE Ell COMBINED ❑ JOINTAGENCY. ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance. OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY 11 ❑ VERIFICATION OF INVENTORY MATERIALS 64L ❑ VERIFICATION OF QUANTITIES �I ❑ VERIFICATION OF LOCATION *Jf ❑ PROPER SEGREGATION OF MATERIAL �t ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING P� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES } ❑ EMERGENCY PROCEDURES ADEQUATE vQ-- ❑ CONTAINERS PROPERLY LABELED 1� ❑ HOUSEKEEPING ❑ FIRE PROTECTION�Jv 1 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? gPYES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS I P SE CALL US AT (661) 326 -3979 6 C� Inspector (Please Print) Fire Prev nti / V In / Shi of Site /Station # Busin ss . 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 R R S r ,. 0 900 Truxtun Ave.; Suite 210 F IRE Bakersfield, CA 93301 D aRrM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME �11.- ��TZZ Y S "Z° —/ Q) ADDRESS 2_2,19 .�� OFC� L�.1. cam. r G'(� q ��0 PHONE NO. 3Z5- -3 NO OF EMPLOYEES Z.o FACILITY CONTACT BUSINESS ID NUMBER 15 -021- �`� Section 1: Business Plan and Inventory Program -s ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ .MULTI- AGENCY ❑ COMPLAINT RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS R9 ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION t4 ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY IR ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES IJ1 ❑ EMERGENCY PROCEDURES ADEQUATE l ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING I �\ ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ❑ NO EXPLAIN: - '_�A`� \ QUESTIONS REGARDING THIS IN Inspector (Please Print) White — Prevention Services LE 4E CALL US AT (661) 326 -3979 / Shift of Site /Station # Yellow - Station Copy U c � r Business Site Resr Pink — Business Copy FD 2155 (Rev. 09/05