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Home My WebLink About7601 KROLL Way_HMBP 6.14.11 (2)UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services e F R s F I , _„ 900 '1Yuxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 v ARTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ca_— QIVtj�rZA,I Q, StZz-Gt% ) "11.Z' 1 f o 112- ADDRESS— HONE NO. NO OF EMPLOYEES FACILITY CONTACT BU R w3ff e3 $ectlon 1 Business Plamand Inventory Program - w_ .. �.. ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS It, ❑ 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 -ZN HAZAR__D11OUS WASTE ON SITE? El YES 0 EXPLAIN: �1IV MKNM?/7'P C THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # siness Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy ' . FD 2155 (Rev. 09/05 UNIFIED. PROGRAM INSPECTION .CHECKLIST ii A A >t r R 5 e, E. _ -- _ -- SECTION 1: Business Plan and Inventory Progr I FIRE r 'i DEPARTM �r am Prevention Services 900 Truxtiin Ave., Suite 210 Bakersfield, CA 93301 ' Tel.: , (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME rat 2N .k L`I -�^ ��,2�.t�= C� -�� y L(, �(� 112- ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSIN D.WUMBERntrs ❑ Section 1: Business Plan and Inventory Program D ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND 0 ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS _I Ul 1 ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 01 ❑ VERIFICATION OF QUANTITIES it ❑ VERIFICATION'OF LOCATION 9 ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION !OF MSDS AVAILABILITY 1 t ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION',; OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION 0 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES -,O'N0 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site /Station # B siness Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05