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HomeMy WebLinkAbout3325 PANAMA_HMBP 5.4.1193 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Prevention Services R 5 F 1 D 900 gYuxtun Ave., Suite 210 F /RE JARFN Bakersfield, CA 93301 r Tel.: (661) 326 -3979 BUSINESS ID NUMBER 15 -021- Fax: (661) 872 -2171 FACILITY NAME 14- INSPECTION DATE �; -y -/ / INSPECTION TIME /0 1� ADDRESS PHONE NO. b4 NO OF EMPLOYEES S FACILITY CONTACT 9 G(> BUSINESS ID NUMBER 15 -021- G�' 1 BUSIneSS PLAN CONTACT INFORMATION ACCURATE `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 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL 9. ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION &d. /V d 1:1 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZAJRD`OUS ASTE ON SS"I�TE EXPLAIN: �S. G vu AYES ❑ NO QUESTIONS REGARDING T11IIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 /'� -c---- Inspector (Ple a Print) Fire Prevention / I" In / Shift of Site /Station # B sines (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_ A E R S F I D F /IPE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME A"-�z INSPECTION DATE J;1_// - / INSPECTION TIME / 60 ADDRESS 3 3 c- no�m HONE NO. b(o� O OF E PLOYEES FACILITY CONTACT % !.0 re il A c of r�� BUSINESS ID NUMBER 15 -021 - ' Section 1. Business Plan and °I`nve�mtory plr.0 F ❑ ROUTINE ❑' COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT E- 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 ❑ 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 TASTE ON SITE? 4—YES ❑ NO EXPLAIN: �r 4.5& 61 1 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 4: � 5"' \. 6 'e' Y_ Inspector (Plea a Print) Fire Prevention / 1" In / Shift of Site /Station # Business S White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05