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Home My WebLink About2505 haley hmbp 3.13.20UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services B E a s F, � 900 Truxtun Ave., Suite 210 F / AE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME - j I - ( -3 --) � d 6 �/ .- 0 D ADDRESS PHONE NO. NO OF EMPLOYEES &4 / - k ?� FACILITY CONTACT BUSINESS ID NUMBER 15-021 - ANY HAZARDOUS WASTE ON SITE? ES ❑ NO EXPLAIN: /fa QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1St In / Shift of Site /Station # Busines Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 il Section 1: Business Plan and Inventory Program ,JK,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V r C= Compliance OPERATION COMMENTS V= Violation C. ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE l ❑ VISIBLE ADDRESS ❑ ❑ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING la4 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -� ❑ ❑ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED 9 ❑ HOUSEKEEPING ❑ FIRE PROTECTION QL ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ES ❑ NO EXPLAIN: /fa QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1St In / Shift of Site /Station # Busines Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05