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Home My WebLink About3700 river blvd hmbp 6.4.20UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B. E 7SF 1 0 900 Truxtun Ave. , Suite 210 F Bakersfield, CA 93301 A T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME sponsi I Part (Please Print) ADDRESS t 40A PHONE NO. / vy -ke.:x NO OF MPLOYEES FACILITY CONTACT BUSINESS ID NUMBER /1*7 2 15 -021- ,. - Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION COMMENTS V= Violation D/ ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS L ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES EY ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY OV ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C� ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED d ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? 0--YES ❑ NO EXPLAIN: `X)W-6' � r '"1' ','fLC Q2UES ONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 /1221 1 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 Business Site / sponsi I Part (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05