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Home My WebLink About1701 STINE ROAD (2)UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME �. Gr M15 V5ec'•�� n Prevention Services INSPECTION TIME 900 Truxtun Ave., Suite 210 F /RE Bakersfield, CA 93301 AMEN r Tel.: (661) 326 -3979 NO OF EMPLOYEES Fax: (661) 872 -2171 FACILITY NAME �. Gr M15 V5ec'•�� n INSPECTION DATE _ / d INSPECTION TIME M 5'_ ❑ ADDRESS �te PHONE NO. �3i NO OF EMPLOYEES FACILITY CONTACT Q �j'� BUSINESS ID NUMBER 15 -021- CJ �0 ❑ $edbon 1_ Plan and Inventory,' Program QN,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS �] ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES 4_ �T ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY �1 ❑ 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 HAZARQO`IJS(W�ASTE O SI E? YES ❑ NO EXPLAIN: \1jV� /1L 5 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (PleaVe Print) Fire Prevention / 1" In / Shift of Site /Station # i:o aami White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05