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Home My WebLink About3301 COFFEE ROAD_HMBP 2.5.09UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F I D FIRE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE TION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES > APPROPRIATE PERMIT ON HAND FACILITY CONTACT BUSINESS ID NUMBER 15 -021- ,.>3' ❑ Section 1: Business Plan and Inventory Program QOROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ > APPROPRIATE PERMIT ON HAND ,.>3' ❑ 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 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION '❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES 0 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1 In / Shift of Site /Station # 616) While — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST rAR 900Truxtun Ave., Suite 210 Bakersfield, CA 93301 r Tel.: (66I) 326 -3979 SECTION 1: Business Plan and Inventory Program 4410011, Fax: (661) 872 -2171 FACILITY NAME INSPE TION DATE INSPECTION TIME ADDRESS P;NENO. 3 `37 6 Z NO OF EMPLOYEES FACILITY CONTACT ",e BUSINESS ID NUMBER / 15 -021- --A c,S o S -6 a "4 Section 1 Business Plan: and,lnventory Program Q=:20UTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ L P APPROPRIATE PERMIT ON HAND �q11 �, y , a ri".! _`►Q i -6 ❑ Business PLAN CONTACT INFORMATION ACCURATE 151, ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ` ®p ❑ VERIFICATION OF HAZ MAT TRAINING b� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -[D ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑) ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND KBF -6013 ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ' ❑ YES s O QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ---> Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Lid) White — Prevention Services Yellow - Station Copy. Pink — Business Copy FD 2155 (Rev. 09/05