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Home My WebLink About5080 CALIFORNIA AVENUE_HMBP 6.16.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program **W Prevention Services B F R S F t 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 v ARTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY N ME INSPECTION DATE INSPECTION TIME COMMENTS 01./('6 t l 4! 3 0 �,,•• ADDRESS PHONE NO. NO OF EMPLOYEES — Y ✓1 � >fl N FACILITY CONTACT BUSINESS ID NUMBER ,�r N A � � � �, �- i3 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 ® ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE IN ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ® ❑ VERIFICATION OF INVENTORY MATERIALS '�g ❑ VERIFICATION OF QUANTITIES {f] ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL 1� ❑ VERIFICATION OF MSDS AVAILABILITY 1M ❑ VERIFICATION OF HAZ MAT TRAINING '® ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - 15 ❑ EMERGENCY PROCEDURES ADEQUATE 'jq ❑ CONTAINERS PROPERLY LABELED '95 ❑ HOUSEKEEPING -�l ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES lad' NO EXPLAIN: C.�.l. Tow Zi oaf 15 Lc, t� QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 M. OLsvti 1113 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu iness Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 .% UfiNWIED PROGRAM INSPECTION CHECKLIST} P A mr: a s F i e D FIRE Rrm SECTION 1: Business Plan and Inventory Program 1. o��,A�►r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS O 1 1 '. 3 !' M ADDRESS PHONE NO. NO OF EMPLOYEES El �,/fl r$I ❑ VISIBLE ADDRESS FACILITY CONTACT BUSINESS ID NUMBER ❑ 15-021 - N Section 1s Business Plan -and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND Fit] El BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE r$I ❑ VISIBLE ADDRESS 4A ❑ CORRECT OCCUPANCY j ❑ VERIFICATION OF INVENTORY MATERIALS E ❑ VERIFICATION OF QUANTITIES `u ❑ VERIFICATION OF LOCATION s= Q ❑ PROPER SEGREGATION OF MATERIAL 'Y' ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING E ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 91 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING I ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES NO EXPLAIN: _� L--1I T_D, VQ �^2 C��' 1� �o �_ A r , sv oQ 1 , i v M (AKc� Af-I °S5 IS L0�ke� QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 NA �< ti E I Les Inspector (Please Print) Fire l5rewention / 1" In / Shift of Site /Station # Business Site / Responsible Party, se Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 . (Rev. 09/05