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HomeMy WebLinkAbout5300 WIBLE ROAD_HMBP 5.4.11UNIFIED PROGRAM INSPECTION CHECKLIST�j SECTION 1: Business Plan and Inventory Program Prevention Services B E R S F I o 900 Truxtun Ave., Suite 210 F /RE Bakersfield, CA 93301 ARrM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME ( J\�o - �r INSPECTION DATE �- INSPECTION TIME 1500 c�� ( �n�� I r// ADDRE13S 53 O o PHONE NO.` h O OF EMPLOYEES FACILITY CONTACT j / Lo c BUSINESS ID NUMBER 15 -021- 1 c, k.� i Section 1: Business Plan and Inventory Program OUTINE ❑ 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 (tT ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ iC FIRE PROTECTION r 1 V ( r^ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDO S WASTE ON SITE? EXPLAIN: }` V,C I — bp, f.LJ'ES ❑ NO 1.101M1-1F: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (PI se rint) Fire Prevention / 151 In / Shift of Site /Station # B Ines ite / Res si le 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 B_ E R S F I D FIRE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAM AV7Lefj� INSPECTION DATE INSPECTION TIME Ll C CA I ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT / r / BUSINESS ID NUMBER 15 -021- r l G �I (1U r A-e- ❑ VERIFICATION OF QUANTITIES Section 1: Business Plan and Inventory Program- � �o.� ❑ 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 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: YES ❑ NO Kbh -W3 QUESTIONS EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 i" i -, Inspector (Please rint) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Re sible Party (Please rin White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05