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HomeMy WebLinkAbout3540 ROSEDALE HWY_HMBP 4.30.10UNIFIED PROGRAM INSPECTION CHECKLIST' SECTION 1: Business Plan and Inventory Program FACILITY NAME NT . ► rA a b,1 � �- _ a1`I,/ s /Ad I0 Prevention Services R 5 F 1 _D 900 Truxtun Ave., Suite 210 N;E JA Bakersfield, CA 93301 RTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME NT . ► rA a b,1 � �- _ a1`I,/ s /Ad I0 INSPE TION DATF= qj 34) � o INSPECTION TIME ADDRESS 3 ^ s� ��LG �C a HONE N0. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 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 IiP ❑ BUSRIeSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES V " Y ` ❑ ❑ 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 R ON HAND Kbh -WJ ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 '7 Inspector (Please Print) Fire Prevention / 1 In /Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST >rAR 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME i (\T rA a e.� �- _ JDfl� s INSPE TION DAT 30 INSPECTION TIME ADDRESS PHONE NO.' NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15 -021- Section 1: Business Plan a =nd -Inventory P.rograIn ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Cornpliance) OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND 13- ❑ Business PLAN CONTACT INFORMATION ACCURATE I�S ,E3 ❑ VISIBLE ADDRESS LFh ❑ 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 Kbr -WU - ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN- QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1 °` In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy . FD 2155 (Rev. 09/05 -. • Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST11 E R s F t E -p 900 Truxtun Ave., Suite 210 - -- -- - -- - -- - - -- -- -- - - -- FIRE Bakersfield, CA 93301 - - - - -- SECTION 1. Business Plan and Inventory Program I, cE�,ERrM r Tel.: (661) 326 -3979 i; Fax: (661) 872 -2171 FACILITY NAME b` ION INSPE 710N DATE INSPECTION TIME rA d ti _ DA; � j ,7r COMMENTS ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Business PLAN CONTACT INFORMATION ACCURATE 15 -021- 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 + 1 \ l '❑ ❑ VISIBLE ADDRESS ❑_, ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION % ❑ ❑ PROPER SEGREGATION OF MATERIAL ` f ❑ ❑ 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? ❑ YES ❑ NO EXPLAIN QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05