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Home My WebLink About2600 sunny ln hmbp 6.4.20Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST - R E R 5 F , 0 900 Truxtun Ave., suite 210 EIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program � ''� r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021 - Section 1: Business Plan and Inventory Program '.ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V r C= Compliance OPERATION l COMMENTS V= Violation ❑ APPROPRIATE PERMIT ON HAND Q ❑ Business PLAN CONTACT INFORMATION ACCURATE `C' ❑ VISIBLE ADDRESS Q/ ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS U�n t ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION L�1 ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING I ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EY ❑ EMERGENCY PROCEDURES ADEQUATE L ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES '_EGNO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1St In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05