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Home My WebLink AboutBUSINESS PLAN 11/16/2006UNIFIED PROGRAM {NSPECTION CIiECKUST :~.~.. .SECTION 1: Business Plan and Inventory Program • BASERSF][E]LD FIRE DEPT Prevention Services ~lt~ 900 Truxtun Ave., Suite 210 ~•rn t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME r/~ ~~ ~ ^ ~ U ~ ~", NSPECTI~ DATE D~ INSPECTION TIM 3 ~ ~- Q ADDRESS ~ ~_ ~r'r Gc~ ~ HONE NO. ~ Z O OF E PLOYEES FACILITY CONTACT , I ~ C7 S' 1 L G USINESS ID NUMBER 15-021- ~©l c . + c.r l Section 1: Business Plan aftnd inventory Program f ~ Q ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r 1 ~ I C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ENT"D ~.+ l~ _ ^ BUSIYiQSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION In'~?v} ~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~( ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES qQ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ^ YES ©NO ~UESTIONS REGARDING TH~I,S~IN`SPECTION? PLEASE CALL US AT (861) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of SNe/Station p ss Sit ool Ske Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink - Business Copy ~_- ~ FD2049 (R~v. 02105) - - - / ~~'