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HomeMy WebLinkAbout3946 BRUNDAGE LANE_HMBPUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:. Business Plan and Inventory Program Prevention Services R P R S F I .„ 900 Truxtun Ave., .Suite*210 FIRE Bakersfield, CA 93301 ARTM Tel.: (661) .326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME I C © "-k loo eon. S-A . ��... ❑ ❑ ADDRESS HONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15 -021- $ecti"6 1 BusIness Plan ry �antllnvento� Program rt..�. ❑ 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 ❑ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ ❑ HOUSEKEEPING n �r C3. ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO 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. 09105 UNIFIED PROGRAM INSPECTION CHECKLIST J SECTION 1: Business Plan and Inventory Program,^,j, � J' Prevention Services a i>z n R s e, a D FIRE. aerN 900 Truxtun Ave.; Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 COMMENTS C40 ..l lA ❑ FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS C40 ..l lA ❑ APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES ❑ ❑ BUSItIeSS PLAN CONTACT INFORMATION ACCURATE j FACILITY CONTACT BUSINESS ID NUMBER 15 -021- Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ "'RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ❑ BUSItIeSS PLAN CONTACT INFORMATION ACCURATE j ❑ ❑ VISIBLE ADDRESS ❑ ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION q ❑ ❑ PROPER SEGREGATION OF MATERIALs ❑ ❑ VERIFICATION OF MSDS AVAILABILITY , ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ ❑ EMERGENCY PROCEDURES ADEQUATE 1 ❑ ❑ CONTAINERS PROPERLY LABELED ❑ ❑ HOUSEKEEPING ll� ❑ ❑ 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 Prevention Services AM INSPECTION CHECKLIST I >z C R_ r , E 900 Truxtun Ave.; Suite 210 :_ _ _ _... (� PNPE 1) Bakersfield, CA 93301 UNIFIED PROGRAM _.___. °S DEPA8TMENT SECTION 1: Business Plan and Inventory Program l v Tel.: (661) 326 -3979 la Fax: (661) 872 -2171 FACILITY NAME^ INSPECTION DATE INSPECTION TIME COMMENTS ❑ ❑ ADDRESS PHONE NO. NO OF EMPLOYEES ❑ Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 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 ❑ ❑ VISIBLE ADDRESS ❑ ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION;OF LOCATION y U "? ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING �^ ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES f.. ❑ ❑ EMERGENCY PROCEDURES ADEQUATE �n ❑ ❑ CONTAINERS, PROPERLY LABELED �� i CD ❑ ❑ HOUSEKEEPING ? ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Business Site / Responsible Party (Please Print) Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B E R SF t D 900 Truxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAM�j INSPE TION D TE INSPECTION TIME C:O �vT20 G D M qT) pN r 5 o L, / o'%, G 2 I P ADDRESS 3� q6 E l PHONE NO. 2Z�a NO OF EMPLOYEES I ❑ VERIFICATION OF INVENTORY MATERIALS FACILITY CONTACT USINESS ID NUMBER ❑ VERIFICATION OF LOCATION 15 -021- ;Sec'tio`n 1: Business�Plan and Inventory Prograrit' ❑ 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 ❑ VERIFICATION OF MSDS AVAILABILITY NO ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Vz ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED /a ❑ HOUSEKEEPING )a ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN:` ) ,:,,4 0 NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 t Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bdtinesg Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05