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Home My WebLink About5350 HAGEMAN ROAD_HMBP 2.17.10Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTS B E R S F I 900Truxtun Ave., suite 210 FA PE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "R'M r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE TION Dy�TE INSPECTION TIME C Pz- Lj "CT& a. �2 v � G E 1 '7 / 10 APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES 61-3-SO ti f� r.e m ?eN 9.D FACILITY CONTACT BUSINESS ID NUMBER Q�� C-�. 15 -021- Section 1: Business Plan an.d''Inventory Prgoramm ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ 52 APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS y LT ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL V ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING /A) Q �_ ,%Ea, ❑ 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 1 s1 —I-1F1 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 tl Q� Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # B I ess 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 Prevention Services B , 0 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE TION D TE INSPECTION TIME CPt C:J�TrGu EQ��CF 2. 1 "t t1c) APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES Business PLAN CONTACT INFORMATION ACCURATE 11 FACILITY CONTACT BUSINESS ID NUMBER `4 1 C� 15 -021- Section 1: Business Plan and" nventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ 1::�3 APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE 11 ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS L: ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING irk ❑ 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 -?.�INO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 tl Q Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # 7ss Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05