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Home My WebLink About1525 columbus st 200 hmbp 3.13.20Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST _ B fA R S F D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program R rM r Tel.: (661) 326 -3979 Fax. (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME Su6AA, l ADDRESS PHONE NO. NO OF EMPLOYEES U') (- � L-60 FACILITY CONTACT BUSINESS ID NUMBER 15 -021- ANY HAZARDOUS WASTE ON SITE? ❑ YES 43-NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # usiness Site / Respo le Party (Pleas rint) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 Section 1: Business Plan and Inventory Program LR- ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION i C V r C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE tR-- ❑ VISIBLE ADDRESS ;L ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 15�-- ❑ VERIFICATION OF QUANTITIES - ❑ VERIFICATION OF LOCATION - ❑ PROPER SEGREGATION OF MATERIAL ' ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING Z, ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �- ❑ EMERGENCY PROCEDURES ADEQUATE E9, ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION OEI, ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES 43-NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # usiness Site / Respo le Party (Pleas rint) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05