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BUSINESS PLAN 1/5/2007
~; c, Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST~j _'_ E...-.--.5.._F.,_ D 9oo'IYuxtunAve.,suite2lo ~= ----~_ ~ -~~~~ ~=-~-~-----~ ==~ ~_- F-R6 Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program '4 ARTM T Tel.: .(661) 326-3979 Fax: (661) 872-2171 FACILITY ME ... - INSPECTION DATE INSPECTION TIME ~ ~ 11 ~ !- ~ -0 7 3 0 gym, ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ~ 15-021- ~ ~ ~, ~ ~n vl.e ~~ ,~S®ctlon 1 ~ ~~usmess Plan acid ttiv®r~tary Program ` ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ROUTINE ^ COMBINED C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ~ / _ C L a ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY L~ ^ / - VERIFICATION OF INVENTORY MATERIALS ~ ^ VERIFICATION OF QUANTITIES ~ f~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~~~ ~ / ~ ~ ~y~~rK 6 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ` EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ~J ^ HOUSEKEEPING ^ FIRE PROTECTION ~ ~ ~ a r r ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA DOUS WASTE ON SIT~/? ^ YES EXPLAIN: ~'~+ ~~ '~ ©i t ~ ~~ QUr/ESTIONS/R'`~EG~JA~RDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 i°