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HomeMy WebLinkAbout3201 GULF STREET_HMBP 3.8.10Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST fARrIW , 0 900Truxtun Ave., Suite 210 RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ' Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME r( Uc, �rCQC-c)rGTI n)(a INSPECTION DATE ";V /Gi INSPECTION TIME ADDRESS 320 �'�1 S 1 PHONE NO. z4 —9�3 NO OF EMPLOYEES COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION ❑ FACILITY CONTACT BUSINESS ID NUMBER I�1 15 -021- C V Section 1: Business Plar>and Inventory Program COMMENTS ❑ ROUTINE b COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION. V= Violation COMMENTS 8 ❑ APPROPRIATE PERMIT ON HAND ❑ N Business PLAN CONTACT INFORMATION ACCURATE I�1 h> ❑ VISIBLE ADDRESS (� ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY )5 , El VERIFICATION OF HAZ MAT TRAINING 'Q ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �Ir ❑ EMERGENCY PROCEDURES ADEQUATE ❑] CONTAINERS PROPERLY LABELED -30 11 11 HOUSEKEEPING & ❑ FIRE PROTECTION ❑ -�5 SITE DIAGRAM ADEQUATE & ON HAND 0 KBF -6013 ANY HAZARDOUS WASTE ON SITE? )EYES ❑\` NO EXPLAIN: a QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �+ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busi es§ Site / Responsible ~?arty (Please Print) 0 White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLI� SECTION 1: Business Plan and Inventory Program ' Prevention Services B A E R S F t E L o FIRE 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 o ARTM �NT v Tel.: (661) 326 -3979 ADDRESS Fax: (661) 872 -2171 FACILITY NAME INSPECTII,ONN DATE INSPECTION TIME �^ ®) ❑ ADDRESS PHONE NO. NO OF EMPLOYEES ❑ L) O O S FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- Section 1: Business Plan -and Inventory Program ❑ ROUTINE 'Q 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 O O S Lf17 ❑ VISIBLE ADDRESS _g ❑ CORRECT OCCUPANCY g ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES 0q ❑ VERIFICATION OF LOCATION >> ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING � ®t ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 09 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ( CONTAINERS PROPERLY LABELED,) ,'© ❑ HOUSEKEEPING 1% ❑ FIRE PROTECTION ❑ El. SITE DIAGRAM ADEQUATE & ON HAND n LA f 1XIM11151 ANY HAZARDOUS WASTE ON SITE? EYES ❑ NO EXPLAIN: " 4 1,- G�� rte. k to QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 *t Inspector (Please Print) Fire Prevention / 151 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