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Home My WebLink About4403 PACHECO ROAD_HMBP 4.6.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services R A F. R S F t �_ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 V aR>/M Tel.: (661) 326 -3979 Fax: (661) 872 -2171. FACILITY NAME INSPECTION DATE INSPECTION TIME -11 A ADDRESS PHONE NO. NO OF EMPLOYEES , FACILITY CONTACT BUSINESS ID NUMBER �-` 7 r✓1 C �o a� 15-021- - , Sect'o Business Plan.and Inventory Program ti ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION r C v C= Compliance OPERATION V= Violation COMMENTS 4101 APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES 7 ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES If EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES V NO EXPLAIN: C6nr\ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector ( (Jease 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;! .......... _ SECTION 1: Business Plan and Inventory Program A A �7�rl"FR S f I C I, D E .DvARTM 1 Prevention Services 900,Truxtun Ave.,. Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME Q,,l y- - f ( I ADDRESS PHONE NO. NO OF EMPLOYEES u c %t,� v � - ') FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- � Section,1: Business Plan and Inventory Program M ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY El COMPLAINT 11' 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 I ❑ HOUSEKEEPING IP ❑ FIRE PROTECTION NE ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES �y NO j EXPLAIN: CGf V ` k4 D ". C6 to QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 43 e--. Inspector ase 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