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Home My WebLink About5200 GASOLINE ALLEY_HMBP 6.8.11Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST t E R S F t o 90OTruxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME � � � � � /' � INSPECTION DATE INSPECTION TIME ( ❑ APPROPRIATE PERMIT ON HAND ADDRESS �y \� /��C v V P� NO. �O� NO OF EMPLOYEES FACILITY CONTACT i1 b BUSINESS ID NUMBER 15-021 - Sectioi,1: _Business Planarrd Inventory Program _ 4. ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 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 ❑ HOUSEKEEPING ❑ FIRE PROTECTION `vV �f a c/ U % CG` —;)"v ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON S TE? CZ'S NO EXPLAIN: QSTC- /S s� QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please r'rK Fire Prevention / 1" In / Shift of Site /Station # Bfisine Site 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 B E R SF t D 900 Truxtun Ave., Suite 210 F /RE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME �. ts�I c[7�1�f INSPECTION DATE 5 -1 Lf _ / J INSPECTION TIME 1!5-e_> v ADDRESS � /� / PHONE/ NO. .b O OF EMPLOYEES A c 6 V KJ i/ � _ �O J FACILITY CONTACT '-J-0-51, - �a USINESS ID NUMBER 15 -021- an of ❑ VERIFICATION OF QUANTITIES Section 1:- 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 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS j ❑ ❑ CORRECT OCCUPANCY It ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES cd ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING �L ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED CP ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARgCOUS ASTE ON SITE? "" EXPLAIN: tt5he_ D' I , C—PYYA i /— QUESTIONS IIJEGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 - l ,3 Inspector (Pleas Print) Fire Prevention / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy nnr -ouid FD 2155 (Rev. 09/05