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HomeMy WebLinkAbout5400 STINE_HMBP 4.6.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Cpl Prevention Services R A Ii R S r I o' 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D ARTM Tel.: (661) 326 -3979 NO OF EMPLOYEES Fax: (661) 872 -2171 FACILITY NAME Cpl INSPECTION DATE INSPECTION TIME 1 y� ❑ Business PLAN CONTACT INFORMATION ACCURATE / 1 ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT _.. 7r,6 cr,11 BUSINESS ID NUMBER 15 -021- Section 1 BBusiness Plan and Inventory Program ROUTINE 11 COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance) OPERATION on V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND 1 y� ❑ 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? ❑ YES ANO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Plea a int) 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 Prevention, Services UNIFIED PROGRAM INSPECTION CHECKL.ISTj A > F R s t.P L D 900 Truxtun Ave., Suite 210 F /RE Bakersfield, CA 93301 D>E AR iM t Tel:: (661) 326 -3979 SECTION 1: Business Plan and Inventory Program iv ' " Fax: (661) 872 -2171 FACILITY NAME CC.\ � INSPECTION DATE INSPECTION TIME V jo ADDRESS PHONE NO. NO OF EMPLOYEES �U D i n,L 7- 7d 00 FACILITY CONTACT ( B SINESS ID NUMBER Tr 1�" 15 -021- ❑ " {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 r �l 11 ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT-OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICAT.ION 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? ❑ YES d NO EXPLAIN: /^ ;L-r MA c QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspect r (Please'POfllt) 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. 09105