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HomeMy WebLinkAbout2990 BUCK OWENS Boulevard_HMBP CLOSEDUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F I D F /RE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 1K2! 77,14 p-FA OaT %O A) ❑ ❑ ADDRESS PHONE NO. O OF EMPLOYEES �+ /�+� �.� 2 I �% �i �J�C� k l.J`1V (�i b1i S Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- Section 1: Business Plan and Inventory: Program El ROUTINE _4S COMBINED 11 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 ❑ ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION , PS ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES hUL� ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ ❑ HOUSEKEEPING ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND 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 # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 21155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST, JA R S F_, u 900TruxtunAve., Suite 210 F /RE Bakersfield, CA 93301 SECTION 1: Business Plan and-inventory Program RTN T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ��, ;•� rq_PNS.,oa -rA7)0 Aj ❑ ❑ ADDRESS PHONE NO, NO OF EMPLOYEES f� 215a a 0,.k)eGo ❑ Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER ❑ 15 -021- Section 1:.B.u9iness Plan and Inventory Pr »ogram ❑ ROUTINE 15 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 ❑ ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS c� ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION S ` ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _ p ❑ ❑ 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 / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Business Site / Responsible Party (Please Print) Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program k Prevention Services E o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 DES, ARTM ,Rr Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME E) i,4 P.? nfv-s P vo, -r AT) o &) ❑ ❑ ADDRESS PHONE NO. NO OF EMPLOYEES 215 a -R L"ck a'Q ( 00 s ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER ❑ 15 -021- Section 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 ❑ ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ ❑ VISIBLE ADDRESS ❑ ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES (-1 ❑ ❑ VERIFICATION OF LOCATION c ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES AV e- ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ ❑ HOUSEKEEPING ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND 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 # White - Prevention Services Yellow - Station Copy rcnr -Wl Business Site / Responsible Party (Please Print) Pink - Business Copy FD 2155 (Rev. 09/05