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Home My WebLink About1601 columbus hmbp 6.4.20UNIFIED PROGRAM INSPECTION CHECKLIST � Prevention Services IA;Jr;rj e F 900 Truxtun Ave., Suite 210 /Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program � Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE Y-doC/� INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES C V C FACILITY CONTACT 6 SIN S ID NUMBER ❑ 15 -021- ANY HAZARDOUS WASTE ON SITE? G�YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �- J Inspec or (P ease rint) Fire Prevention / 1" In / Shift of Site /Station # siness Site / Respons r� White — Prevention Services Yellow - Station Copy Pink — Business Copy firma FD 2155 (Rev. 09/05 Section 1: Business Plan and Inventory Program ,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION-- P E RATI O N V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS E!( C3' ❑ ❑ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION C ❑ PROPER SEGREGATION OF MATERIAL C L� ❑ ❑ VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAZ MAT TRAINING 2C ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EY ❑ EMERGENCY PROCEDURES ADEQUATE Cf ❑ CONTAINERS PROPERLY LABELED El` ❑ HOUSEKEEPING L'J ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? G�YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �- J Inspec or (P ease rint) Fire Prevention / 1" In / Shift of Site /Station # siness Site / Respons r� White — Prevention Services Yellow - Station Copy Pink — Business Copy firma FD 2155 (Rev. 09/05