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HomeMy WebLinkAbout2801 BRUNDAGE LANE_HMBP 6.2.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NA� ^ .rte &tU1C-0— INSPECTION DATE (0 -7— l o INSPECTION TIME Prevention Services B r. R S F + D 900 Truxtun Ave., Suite 210 FIRE Bakersfie v aarM Tel.: (6 26 -39 Fax: 872 (661) -2171 FACILITY NA� ^ .rte &tU1C-0— INSPECTION DATE (0 -7— l o INSPECTION TIME ADDRESS //���� PHpONE N O OF EMPLOYEES FACILITY CONTAC BUSINESS ID NUMBER 15- 021 - A UV i Y Section 1 Business Planand Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY . ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C . v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT,ON HAND 1:1 Business PLAN CONTACT INFORMATION ACCURATE ow Mow M AkA ,fir ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ c!J VERIFICATION OF MSDS AVAILABILITY, ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFJCATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING 7, elf ❑ FIRE PROTECTION (T?.t�trSU -3�/ / GY,.t/- C"Al ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ! AC` �OkS . ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspe (Please Print) Fire Prevention / 1" In / Shift of Site /Station # � �fr✓l,P %: l� 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 FACILITY NAME [A� L, Prevention Services A t? a S F t ,_, 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 v ARTM Tel.: (661) 326 -3979 Fax: NO OF EMPLOYEES I (661) 872 -2171 FACILITY NAME [A� L, INSPECTION D'A7T�Eq INSPECTION TIME LJO COMMENTS T ADDRESS Z G �N c. l �. - PHONE NO. _ 3- Cr-i S NO OF EMPLOYEES I FACILI NTACT ��aa BUSINESS ID NUMBER 15- 021 -oo I IZo© V'r r 0tvrc 4 Section 1 Business Planand Invento, Pro ram ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS T ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS C� ❑ CORRECT OCCUPANCY (/VC/ CY A_ �//i /./ i �� 1/ l ❑ VERIFICATION OF INVENTORY MATERIALS L,V ❑ VERIFICATION OF QUANTITIES ❑ 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 ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING fee) —r ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDlOVS WASTE ON SITE? E YES ❑ NO EXPLAIN: w A-1 *=- 9 (*3 1 ` QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 l _ ,4. In ec or (Please Print) Fire Prevention / 1' In /Shift of Site /Station # Bu iness Sit Responsible P y (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05