The URL can be used to link to this page

Home My WebLink About5801 ALPINE FALLS LANE_HMBP 2.12.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 4!�� ". FIRE ARTH r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME C-Po__ W xr&a_ S re'O I c � INSPE TION D TE v INSPECTION TIME ADDRESS 5$o 1 �l Lni PHONE NO. NO OF EMPLOYEES In,6�L� -s ❑ FACILITY CONTACT 3USINESS ID NUMBER 9 [. L �S 1 C* 15 -021- Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS `. �I ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE 4P ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL %i ❑ VERIFICATION OF MSDS AVAILABILITY y �� ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ (cE CONTAINERS PROPERLY LABELED 6( d:2- c, v� y ✓` t (� ❑ HOUSEKEEPING ❑ FIRE PROTECTION r_1_9 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Q:3 C-) 4---- t�j Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu si s Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program E E_ R S F I D F/RE ARTM T Prevention Services 9001Yuxtun Ave., Suite 210 Baketsfield, CA 93301 Tel.: (661) 326 -3979 Fax: - (661) 872 -2171 FACILITY NAME CP•L TO EE INSPECTION TIME SCAL01 CC ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ ADDRESS S$ o I f%1 PHONE N0. NO OF EMPLOYEES C FACILITY CONTACT BUSINESS ID NUMBER N L L 9-0.5 I G 15 -021- ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 C' Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu si s Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 Section 1.' BusineSs'Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS '0 ❑ APPROPRIATE PERMIT ON HAND ,Z1 ❑ Business PLAN CONTACT INFORMATION ACCURATE c0� ❑ VISIBLE ADDRESS 13, ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS .10, ❑ ' VERIFICATION OF QUANTITIES �p ❑ VERIFICATION OF LOCATION \Q ❑ PROPER SEGREGATION OF MATERIAL C❑ ❑ VERIFICATION OF MSDS AVAILABILITY ��yy I J ❑ VERIFICATION OF HAZ MAT TRAINING / N C r ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ (<O CONTAINERS PROPERLY LABELED �Gl ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 C' Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu si s Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05