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Home My WebLink About3550 Q STREET_HMBP 6.18.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program I_ E R SF I D F/1rll A RrNilf Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15- 021 -00/25 j� Section "1:. -Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS / 91"1 APPROPRIATE PERMIT ON HAND 2 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE 9?""'0 VISIBLE ADDRESS l�6 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 SIT /? J21'i'Ejs ❑ NO EXPLAIN: QU "TIONS 4115VARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # 'i�& P_' �� B s Site / Responsible P lease rint Ker-W13 White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program �� Prevention Services A" R A F. R S F o .900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTH Tel.: (661) 326 -3979 Fax: 872 NO OF EMPLOYEES B' (661) -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ' LI N A S v I �A ob /I , �O 135 ADDRESS -4r- -31sts o Q Ti` Zo2 30 PHONE NO. 32.4 -IIf 5s- NO OF EMPLOYEES B' FACILITY CONTACT BUSINESS ID NUMBER Q_L IF- GAZA 15- 021 - Q523 I-( F. ga „ SectionE1 ,fr Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINTAG ENCY El ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS 19 ❑ APPROPRIATE PERMIT ON HAND I� ❑ Business PLAN CONTACT INFORMATION ACCURATE �XI ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS C� ❑ VERIFICATION OF QUANTITIES ® ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL I ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING M ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �( ❑ EMERGENCY PROCEDURES ADEQUATE �] ❑ CONTAINERS PROPERLY LABELED C ❑ HOUSEKEEPING I;k ❑ FIRE PROTECTION M ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES E EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # i" White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05