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Home My WebLink About4400 UNIVERSITY AVE_HMBP 5.20.21UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME / ADDRESS FACILITY CONTACT Prevention Services H 's E R s F I D 900 Truxtun Ave.,, Suite 210 FIRE Bakersfield, CA 93301 a R Tyr Tel.: (661) 326 -3979 Fax: (661) 872 -2171 INSPECTION DATE 'INSPECTION TIME PHONE NO. NO OF EMPLOYEES USINESS ID NUMBER 15 -021- ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspe for (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) KBF -6013 White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION COMMENTS C v C= Compliance OPERATION V= Violation ❑ ❑ APPROPRIATE PERMIT ON HAND Cf" ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ ❑ VISIBLE ADDRESS ❑ ❑ CORRECT OCCUPANCY ❑ ❑ ❑ ❑ VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION 0' ❑ PROPER SEGREGATION OF MATERIAL 0 ❑ VERIFICATION OF MSDS AVAILABILITY EJ ❑ VERIFICATION OF HAZ MAT TRAINING LJ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Ef ❑ EMERGENCY PROCEDURES ADEQUATE El ❑ ❑ ❑ CONTAINERS PROPERLY LABELED HOUSEKEEPING ❑ ❑ ❑ ❑ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspe for (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) KBF -6013 White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05