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Home My WebLink About3600 WILSON ROAD_HMBP 5.19.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services E A E R S F t o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D AR 1M T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME veaz'o'�(Arc r - p C= Compliance OPERATION V= Violation INSPECTION DATE 5 - / aovo INSPECTION TIME 5 m f xr.ks ADDRESS 3 (0o U ` / on ' f ^ .4D (— V( HONE NO. O OF 6 EMPLOYEES FACI! yTY CONTACT ` 1�g0l. \1r\nC, e.r kat ❑ USINESS IDJNUMBER 15 -021- Sectign 1: Business Plan and Inventory,_P.-rogram ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS / ❑ APPROPRIATE PERMIT ON HAND L7 ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS d ❑ CORRECT OCCUPANCY d ❑ VERIFICATION OF INVENTORY MATERIALS Id ❑ VERIFICATION OF QUANTITIES IJ ❑ VERIFICATION OF LOCATION IM ❑ PROPER SEGREGATION OF MATERIAL (� ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING � / El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,L3 L7 ❑ EMERGENCY PROCEDURES ADEQUATE IV ❑ CONTAINERS PROPERLY LABELED Lf ❑ HOUSEKEEPING Ct/ ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND Kbr -W M ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ��IJR �_/ Inspector (Ple se Print) Fire Prevention / 1s' 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" S F t. D 900Truxtun Ave., Suite 210 RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program T Tel.: (661) 326 -3979 y Fax: (661) 872 -2171 FACILITY NAME Ve (r7, ✓ (*6 p C= Compliance OPERATION V= Violation INSPECTION DATE 5- /9 o INSPECTION TIME 5 n, t'_V -� ADDRESS 3GO u Vf s10�1111 716 1— PHONE NO. ysb NO OF EMPLOYEES —0- FACT ITY CONTACT` / X101. V Gnc� 2� l�a.l BUSINESS ID NUMBER 15 -021- dU See "ctlon 1 Buslne s Planjand InventoryNProgram ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS 9'*' ❑ APPROPRIATE PERMIT ON HAND > E ❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS IJ ❑ CORRECT OCCUPANCY E� ❑ VERIFICATION OF INVENTORY MATERIALS IJ ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION J IJ ❑ PROPER SEGREGATION OF MATERIAL T( ❑ VERIFICATION OF MSDS AVAILABILITY El VERIFICATION OF HAZ MAT TRAINING 03" / ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES LrJ ❑ EMERGENCY PROCEDURES ADEQUATE IV ❑ CONTAINERS PROPERLY LABELED L�/ El HOUSEKEEPING Lld ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ner -oui ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Ple se Print) Fire Prevention / 1s' 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 J F I ' Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST; ER._SF-LE 900 Truxtuh Ave., Suite 2 10 FIRE Bakersfield, CA 93301 r Tel.: (661) 326 -3979 SECTION 1: Business Plan and Inventory Program �' DEPARrM Fax: (661) 872 -2171 FACILITY NAME I / GI ❑ APPROPRIATE PERMIT ON HAND INSPECTION DATE INSPECTION TIME '' VeKizaq �i f G S� 5 -1 '� -',v _-� 5 /, > > :, . , ". ADDRESS 3Go u V 19 ❑ VERIFICATION OF QUANTITIES PHONE NO. NO OF EMPLOYEES - - FACILITY CONTACT - / ?0110(_ c-1 nC� e -C 1G o.! V D ❑ PROPER SEGREGATION OF MATERIAL BUSINESS ID NUMBER 15 -021- Section 1: Business Plan and Inventory Program EV,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS / GI ❑ APPROPRIATE PERMIT ON HAND 11 Business PLAN CONTACT INFORMATION ACCURATE 0/ E/ LJ ❑ VISIBLE ADDRESS 0" ❑ CORRECT OCCUPANCY 0" ❑ VERIFICATION OF INVENTORY MATERIALS 19 ❑ VERIFICATION OF QUANTITIES 0� ❑ VERIFICATION OF LOCATION D ❑ PROPER SEGREGATION OF MATERIAL ED ❑ VERIFICATION OF MSDS AVAILABILITY 0/ ❑ VERIFICATION OF HAZ MAT TRAINING ❑Y ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 0/ ❑ EMERGENCY PROCEDURES ADEQUATE E'a/ ❑ CONTAINERS PROPERLY LABELED Or ❑ HOUSEKEEPING ED/ ❑ 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 a'', ,4 -?-�? Inspector (Ple se 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