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Home My WebLink About3223 ORIN WAY_HMBP 2.17.10UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services B E R S P t o 900 Truxtun Ave., Suite 210 - - - -- - —� - - -- FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Programs] ''� T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME L Sf.Q. Cc Z /r' /v ADDRESS 3 2 23 a Q-I n, tide arc 1 se PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ��1,� �OSIGA 15-021 - Sectiryon 1 Business Plan and Inventory. Programp UTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS A❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING r4 %m /,.q C1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND of ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES '`ENO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 .-- Qom.. Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu ' ss Site / Responsible Party (Please Print) 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 B_ E R S_F_ 1 _D F /RE AB TM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME L !L SG12 « ZI17 ❑ ADDRESS _92,2_3 09-1 ti. u)-%y cgs 1 Po PHONE NO.. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER � 15-021 - SectionA : Business Plan and Inventory Program -' l—P®UTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS yy 6P ❑ APPROPRIATE PERMIT ON HAND %0, ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS c�Eb \O) ❑ CORRECT OCCUPANCY �j ❑ VERIFICATION OF INVENTORY MATERIALS E�3 ❑ VERIFICATION OF QUANTITIES b:�, ❑ VERIFICATION OF LOCATION ?❑y ❑ PROPER SEGREGATION OF MATERIAL '&IJ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING N /® ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY-PROCEDURES ADEQUATE M ❑ CONTAINERS PROPERLY LABELED ❑j ❑ HOUSEKEEPING SQ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND n J A KCr -WlJ ANY HAZARDOUS WASTE ON SITE? ❑ YES -E):�,NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu 7s ss Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05