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Home My WebLink About6101 BUENA VISTA ROAD_HMBP 4.29.10UNIFIED PROGRAM INSPECTION CHECKLISTJj 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 NAME �Q-'�7.cow- INSP TION TE INSPECTION TIME +12E.t�SS 2' �a ❑ ADDRESS l o l f l> E AJ v+ S-�� PHONE NO. t NO OF EMPLOYEES ,FACILITY CONTACT BUSINESS ID NUMBER Cr l0 Z b 6 (o -LC:) - a — /� 15 -021- L Section 1: Business Plan and,lnventM Program OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND /4Z ❑ BUSR1eSS PLAN CONTACT INFORMATION ACCURATE a G� S tm ❑ VISIBLE ADDRESS I$0 ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION ` ^ n D ❑ ❑ 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 _ 0 1 HOUSEKEEPING C. ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND �ma�uc ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES �NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 `kv" MA Inspector (Please Print) Fire Prevention / 'It 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 CHECKLIST rift 900Truxtun Ave., Suite 210 Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program T Tel.:. (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME l ` INSPE TIOJ�N 7/0 TE INSPECTION TIME ci �/�' vJ t fLE c.�C S 2 / ❑ ADDRESS 1 0 Ab PHONE NO. t NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER c, 7- C) _ // 15 -021- r n Secti UNIFIED PROGRAM INSPECTION CHECKLIST f SECTION 1: Business Plan and Inventory Program A - E R S F I -- FIRE D I ARTM NT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME ( C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME ❑ fLGL -c- APPROPRIATE PERMIT ON HAND `7/2`7//(:) ADDRESS ` C7 0 ` \ LA h. �./ t c, `� Business PLAN CONTACT INFORMATION ACCURATE PHONE NO. NO OF EMPLOYEES FACILITY CONTACT ❑ VISIBLE ADDRESS BUSINESS ID NUMBER K �o d' �� 15 -021- 0 (, U 1 i! ❑ ❑ Section 1: Business Plan and Inventory Program `O ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION .Cv ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ; ❑ Business PLAN CONTACT INFORMATION ACCURATE C _ <- P. S +❑� ❑ VISIBLE ADDRESS ❑D ❑ CORRECT OCCUPANCY 1 i! ❑ ❑ VERIFICATION OF INVENTORY MATERIALS / ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION i ❑ ❑ 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 rU ❑ gn HOUSEKEEPING r \.t3 0- '" ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: I, ❑ YES ❑1NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # \ X. V\ pnf-\ rvE l �) Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05