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Home My WebLink About3400 SILLECT AVENUE _HMBP 2.17.10Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST .4 R s F , 0 900 Truxtun Ave., Suite 210 -- - - -- - - - -- — FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° ARTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 1, lid AtT'ER- Saw 1 G F 2--,(l /,::I ❑ ADDRESS PHONE NO. NO OF EMPLOYEES ;7 n Oo S t L_L c-.G -r �� 6 �yblC -CdLS le Ik () Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER 1j ► L.- eo S 1 Cis 15 -021- "Section 1: Business Plan and Inventory Program )2OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS Rp ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY .I;h ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL J% ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING d \ G.._ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED 5b ❑ HOUSEKEEPING �j ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES gk�NCI EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / fi` In / Shift of Site /Station # B ess Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST prevention Services A E R S F I o 900 Truxtun Ave., Suite 210 x, FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "R'M r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME p I— 0 A*'Ek._ SERu 1 G c- 2--(17) /o L�ROUTINE ADDRESS n 3 q 0 S► LI.0 -G i 1�V E ►�Ib1�tQS �eIY �A PHONE NO. NO OF EMPLOYEES FACILITY CONTACT L'�- ?_0 c A BUSINESS ID NUMBER 15 -021- C v Sec,tiion:1,: Business. Plan and Progr am EP L�ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS EP ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE Nl-, ❑ VISIBLE ADDRESS dkb ❑ CORRECT OCCUPANCY -9h ❑ VERIFICATION OF INVENTORY MATERIALS jEb ❑ VERIFICATION OF QUANTITIES —, ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL Lj ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING y� C7 \ G ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES LTV ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED IR3 ❑ HOUSEKEEPING tb ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND `✓ I� Ial�lII1�1F: ANY HAZARDOUS WASTE ON SITE? ❑ YES 4�4NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # B ess Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05