Loading...
HomeMy WebLinkAbout4260 TRUXTON Avenue_HMBP 5.7.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program E �SF FilrE A RrNjf Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE 5---7-16 INSPECTION TIME ADDRESS PHONE NO. NO OF E PLOYEES y LCD© 6-JG Z,� 13 Z7 363(, Z FACILITY CONTACT USINESS ID NUMBER 15 -021- Mo _ ❑ VERIFICATION OF LOCATION �;$ection,1 Business Plan and Inventory.Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND )�I ❑ Business PLAN CONTACT INFORMATION ACCURATE P ❑ 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 ❑ FIRE PROTECTION 114 ❑ 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 # us' ess Site r PcAslblr arty (Please Print) nnroul� White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST', SECTION 1: Business Plan and Inventory Program Prevention Services 4E R S F, 0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARrAI r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C, ❑ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ADDRESS PHONE NO. NO OF EMPLOYEES 1_ i y ✓rs (0 6132018 49- FACILITY CONTACT 3USINESS ID NUMBER 5 - 15— �v 15 -021- Sectidn f: 13 -sin ss Plan and In Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ,R'l ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY �I ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ,,EI ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,Q ❑ EMERGENCY PROCEDURES ADEQUATE I ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND nnr -oU1J ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 —.14 cl 4w."_ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # BusirVElte TlVesponsible Parry (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05