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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 �``' 3 Z, o -boy- 5 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 Loj -er.* e i pj-3 eeCr t kos C o -70 3 15 -021- Y Section 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 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE 11 VISIBLE ADDRESS J( LJ ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS C�/ C1 VERIFICATION OF QUANTITIES E ❑ VERIFICATION OF LOCATION e El PROPER SEGREGATION OF MATERIAL te/ L'7 ❑ VERIFICATION OF MSDS AVAILABILITY EE( 11 VERIFICATION OF HAZ MAT TRAINING LJ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES R( ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED Ef ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND rcnr -bUu ANY HAZARDOUS WASTE ON SITE? ❑ YES Ly' NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ­07 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 JFJ fARTM Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: 872 Business PLAN CONTACT INFORMATION ACCURATE (661) -2171 FACILITY NAME # ` - " t �.�� INSPECTION DATE INSPECTION TIME COMMENTS % f IJ ❑ ADDRESS �I , /O �1 / �'Q f 5 c� - 7 �p1 PHONE NO. NO OF EMPLOYEES ❑ Business PLAN CONTACT INFORMATION ACCURATE F ILITY CONTACT ^ n 00 I ,r \t ?LA 2 A -Ar. '3'3 9 C r BUSINESS ID NUMBER 1O 'er z 1 Q.5 e C'�(f(t �-� C 90-70% 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 % f IJ ❑ APPROPRIATE PERMIT ON HAND lJ ❑ Business PLAN CONTACT INFORMATION ACCURATE R( ❑ VISIBLE ADDRESS d ❑ CORRECT OCCUPANCY Ef ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ET' ❑ VERIFICATION OF LOCATION , 1 CJ ❑ PROPER SEGREGATION OF MATERIAL l� ❑ VERIFICATION OF MSDS AVAILABILITY E( ❑ VERIFICATION OF HAZ MAT TRAINING EIr ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES R✓ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED Ef ❑ HOUSEKEEPING ❑ FIRE PROTECTION Z ❑ 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 a - 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 3 ��,� !'��a- 546--9Yi7 S_,lq —/v �)1 "O'A -e� ADDRESS (� (� 5�a __ a� 3 ga L-1 yo W �� PHONE NO. NO OF EMPLOYEES I- q ,:2- y &9 -6 &� E FACILITY CONTACT O� r LA 7 to cjr. � 33 rj 1 t' BUSINESS ID NUMBER 15-021 - O� �r T Iz 1 . 5 Q err t VDS C , -7c� E?' 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 ' E ❑ VISIBLE ADDRESS E?' ❑ CORRECT OCCUPANCY ELY ❑ VERIFICATION OF INVENTORY MATERIALS [Y ❑ VERIFICATION OF QUANTITIES EY ❑ VERIFICATION OF LOCATION s 21 ❑ PROPER SEGREGATION OF MATERIAL y EY ❑ VERIFICATION OF MSDS AVAILABILITY r E7/ ❑ VERIFICATION OF HAZ MAT TRAINING EY ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 0". ❑ EMERGENCY PROCEDURES ADEQUATE ER"' ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION i 12" ❑ SITE DIAGRAM ADEQUATE & ON HAND v ncroui� 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