HomeMy WebLinkAbout4408 WIBLE ROAD _HMBP 5.19.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTJI
� a e R s F t in. 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program I! "RrM f Tel.: (661) 326 -3979
L Fax: (661) 872 -2171
FACILITY NAME 7
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INSPECTION DATE
INSPECTION TIME
ADDRESS ' J p / t %
HONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND
FgC�ILITY CONTACT 'a900 P A r \i ?LA -2 A cvr. 33 R e
BUSINESS ID NUMBER
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15 -021-
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Section 1,: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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V= Violation
COMMENTS
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APPROPRIATE PERMIT ON HAND
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BUSIneSS PLAN CONTACT INFORMATION ACCURATE
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VISIBLE ADDRESS
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CORRECT OCCUPANCY
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VERIFICATION OF INVENTORY MATERIALS
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VERIFICATION OF QUANTITIES
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VERIFICATION OF LOCATION
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PROPER SEGREGATION OF MATERIAL
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VERIFICATION OF MSDS AVAILABILITY
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VERIFICATION OF HAZ MAT TRAINING
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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EMERGENCY PROCEDURES ADEQUATE
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CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES Ly' NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please rint) 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
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME # ` - " t �.��
INSPECTION DATE
INSPECTION TIME
Prevention Services
900 Truxtun Ave., Suite 210
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Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: 872
Business PLAN CONTACT INFORMATION ACCURATE
(661) -2171
FACILITY NAME # ` - " t �.��
INSPECTION DATE
INSPECTION TIME
COMMENTS
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ADDRESS �I , /O �1 / �'Q f 5 c� - 7 �p1
PHONE NO.
NO OF EMPLOYEES
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Business PLAN CONTACT INFORMATION ACCURATE
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BUSINESS ID NUMBER
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15 -021-
Section 1: Business Plan an, Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
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❑
APPROPRIATE PERMIT ON HAND
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Business PLAN CONTACT INFORMATION ACCURATE
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VISIBLE ADDRESS
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CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
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VERIFICATION OF QUANTITIES
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❑
VERIFICATION OF LOCATION
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CJ
❑
PROPER SEGREGATION OF MATERIAL
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❑
VERIFICATION OF MSDS AVAILABILITY
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❑
VERIFICATION OF HAZ MAT TRAINING
EIr
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
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FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
K8r -eUrf
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0 NO
EXPLAIN:'
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please rint) Fire Prevention / 1'` In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
7
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
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UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
B R S F I E
E tFIRE D 900'Ihlxtun Ave., Suite 210
- �_ - - - -- - - - - -- - -- - - - - Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program °gip "RrMr Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME � "-+-
INSPECTION DATE
INSPECTION TIME
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BUSINESS ID NUMBER
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Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
E9/ ❑
APPROPRIATE PERMIT ON HAND
C7�
❑
Business PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
E?'
❑
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
EY
❑
VERIFICATION OF LOCATION
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21
❑
PROPER SEGREGATION OF MATERIAL
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EY
❑
VERIFICATION OF MSDS AVAILABILITY
r
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❑
VERIFICATION OF HAZ MAT TRAINING
EY
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
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❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
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FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES Q/f o
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (PleaseFfrint) Fire Prev ntion / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
i
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05