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2320 HALEY STREET
UNIFIED PROGRAM INSPECTION CHECKLIST " .~~'evention Services e e R S F, e_o ~900 Truxtun Ave., Suite 210 FiRE Bakersfield, CA 93301 SECTION 1: Business Pian and Inventory Program~ '''"r"' ~ r"~ Tel:: (661) 326-3979 . . ~ Fa~c: (66.1)~872-2171 ~ FACILITY NAME ~ . ~ ~ ~ ~ INSPECTION DATE' INSPECTION TIME - .. . ~~ ~. eJ tN ~ S S _ _ 0 5 b w~ . ,J ADDRESS . . Z~ `T, klZS ~'LO PHONE NO. ~ti - Uf3Sg O OF EMPLOYEES U~mRNi.reo FACILITY CONTACT ~ ~ C NI'Q.1 S ~„ c:1 C' 2 ~~ ~ BUSINESS ID NUMBER 15-021-~~03~~ ~ ' Section 1: Business Plan arid.lnventory Program~~ ~ ROUTINE ^ COMBINED' ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ' ^ RE-INSPECTION " C V ~ C=Compliance~. OPERATION ~ V=Violation ' , COMMfNTS ' ' ~ ^ APPROPRIATE PERMIT ON HAND ~ ' . . ~• ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ~ '. P~ ^ VISIBLE ADDRESS - -. • , . , . . . ~ ^ CORRECT OCCUPANCY - , ~ ~ ^ VERIFICATION OF INVENTORY MATERIALS . ~ ~ ~ ^ VERIFICATIONAF QUANTITIES - . ~ . ~ ^ VERIFICATION OF LOCATION ' ' ~ ^ PROPER SEGREGATION OF MATERIAL - $d ^ VERIFICATION OF MSDS AVAILABILITY ' ~ ~ - - ~ ~ ^ VERIFICATION OF HAZ MAT TRAINING ' ~ , , ~ ~ ^ VERIFICATION OF ABATEMENT SUPPUES AND PROCEDURES 4 ~ ^ EMERGENCY PROCEDURES ADEQUATE ' • . ~ ~. ~ ^ CONTAINERS PROPERLY LABELED , ~ ^ HOUSEKEEPING ~ ~ • ^ FIRE PROTECTION ~ ~ " ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ' , . . . . . . . . ncr-ovia ANY HAZARDOUS WASTE ON SITE? , ^ YES ^' NO . , ' • EXPLAIN: -CUeJ kV~cc '~ ~vYL - =r150eC~C1a~l CYl rJ \ S .~ ~C'~ ~ J~O~ `- U S l~ ~+ .. QUESTIONS REGARDING THIS INSPECTION? P~ease ca~~ us aT (661) 326=3979 ~ ' r~C ~~~~~e~t~.~ o/f Z . ~ . . s e~~ . lnspector (Please Print) Fire Prevention / 1~' In / Shift of Site/Station # siness de esp~ i~ (Please Print) " White - Prevention Services ' Yellow - Station Copy Pink - Business Copy : , FD 2155 (Rev,. 09/OS