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HomeMy WebLinkAbout3305 GULF STREET_HMBP 3.16.10UNIFIED PROGRAM INSPECTION CHECKLIST prevention Services fDA S F I 0 900 Truxtun Ave., Suite 210 IRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program RFN Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE ) INSPECTION TIME ,0-s A 6) 9- 141 /Q� APPROPRIATE PERMIT ON HAND rv.• e. ADDRESS PHONE NO. 6 .4-1 NO OF EMPLOYEES Business PLAN CONTACT INFORMATION ACCURATE z FACILITY CONTACT BUSINESS ID NUMB1 5 -021 f - m Section 1: Business Plartand Inventory Program _ ❑ ROUTINE Q COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C °Compliance OPERATION V= Violation COMMENTS ❑ 2' APPROPRIATE PERMIT ON HAND rv.• e. . v.. � ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS m ❑� ❑ ( CORRECT OCCUPANCY t . ❑ VERIFICATION OF INVENTORY MATERIALS t ❑i ❑ VERIFICATION OF QUANTITIES V IT ❑ VERIFICATION OF LOCATION )8° ❑ r PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING Dom% ❑ /1% VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE • ® El CONTAINERS PROPERLY LABELED MuS� ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ %9 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? F.1 YES ❑ NO EXPLAIN: ` � /x� 1 ) AN� 5 _s )9 _A i QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / P' In / Shift of Site /Station # Business -Site /'Res onsible 7;4rty (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 PrT Ll ogram JAE R S P I B I. n F /RE RTM Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME _mss 7' ADDRESS 33 S >^ 4 3 PHONE NO. _SZ8 J 1 NO OF EMPLOYEES Lk 9(G+ N - Js - FACILITY CONTACT ("ice BUSINESS ID NUMBER 15-021-00 i s ' r Section,1: Business Plan and Inventory Program ❑ ROUTINE El COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V (C =Compliance` OPERATION l COMMENTS V= Violation ❑ S' APPROPRIATE PERMIT ON HAND ❑ 'Eb Business PLAN CONTACT INFORMATION ACCURATE k_ Dv..-.j ❑ VISIBLE ADDRESS b= ❑ CORRECT OCCUPANCY S— ❑ VERIFICATION OF INVENTORY MATERIALS /01 ❑ VERIFICATION OF QUANTITIES /D) ❑ VERIFICATION OF LOCATION ❑° .❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING 09 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ❑ EMERGENCY PROCEDURES ADEQUATE ID ❑ CONTAINERS PROPERLY LABELED 1 �© ❑ HOUSEKEEPING ° Cl ❑ FIRE PROTECTION i - ❑ \O SITE DIAGRAM ADEQUATE& ON HAND ANY HAZARDOUS WASTE ON SITE? 0 YES ❑ NO 1_� EXPLAIN: \ �� -1 a \ G� e; I._ A QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 • �� - / � oar ,,.Q � - „.,,4� a..:.�.;,a.• -- -_. Inspector (Please Print) Fire Prevention / 1” In / Shift of Site /Station # f 'Business Site /Responsible Party (Please Print) i White - Prevention Services Mellow - Station Copy Pink`- Business Copy FD 2155 (Rev. 09/05