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Home My WebLink About8650 HAGEMAN ROADUNIFIED PROGRAM INSPECTION CHECKLIST�� SECTION 1: Business Plan and Inventory Program 11 Prevention Services 4 k S F t o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME Cf -- \,OATe; Q. S cow I c < INSP CTION 9ATE INSPECTION TIME ADDRESS � � ��n � P4 �A �� HONE NO. NO OF EMPLOYEES FACILITY FACILITY CONTACT BUSINESS ID NUMBER 'i�' . c,L. kaS 1 Gib 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 ❑ APPROPRIATE PERMIT ON HAND '�Z ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ n=�- VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ (G CONTAINERS PROPERLY LABELED / L I �--JA �i 1 5D 2 �,c,✓:�- ❑ HOUSEKEEPING J6 ❑ FIRE PROTECTION `` , ❑ SITE DIAGRAM ADEQUATE & ON HAND rcur -WJ ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station # Bu ' ss 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 B r _,_ 900TruxtunAve., Suite 210 Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSP CTION 9ATE INSPECTION TIME C1` " Z f7 /U APPROPRIATE PERMIT ON HAND. ADDRESS PHONE NO. NO OF EMPLOYEES Business PLAN CONTACT INFORMATION ACCURATE �❑j FACILITY CONTACT BUSINESS ID NUMBER ck 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 ❑ 'r-91 APPROPRIATE PERMIT ON HAND. �¢rJ {❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE �❑j ❑ VISIBLE ADDRESS CI ❑ CORRECT OCCUPANCY a-Q ❑ VERIFICATION OF INVENTORY MATERIALS {Q ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION i❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑=� VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES \ �.@ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ NEI CONTAINERS PROPERLY LABELED L—/ h e �f ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND n�naaE, ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu ' ess Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05