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BUSINESS PLAN 2/27/2009
UNIFIED PROGRAM INSPECTfON C.HfCKLIST. Prevention Services . B ~ R s F 1 E D 900'IYuxtun Ave., Suite 210 iiRE • Bakersfield, CA 93301 S E CTI O N 1:. Business Plan and Inventory Program - ~ ARTM ~~. Tel.: .(661) 326-3979 ~. . ~ ~ F~`. (661) 872-2171 FACILITY NAME .. , INSPECTION DATE INSPECTION TIME e~, Y'r r ~s~ Z~ 1 ,z1- o ADDRESS ~ lQ~~ ~~/~' l'~ ~ ~ ' PHONE NO. ~• ~~ ~7J(~` O OF EM~P7LOYEES ~ / FACILITY CONTACT - . . ~ BUSINESS ID NUMBER 15-021- UO~ SO~ i c . .~~- rc, , Section 1: Business Plan and Inventory Program ~ ~ ROUTINE ^ COMBINED ^ JOINT AGENCY • ^ MULTI=AGENCY =^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance~ OPERATION ` ~ . V=Violation . ' ~ COMMENTS - • ~ ^ APPROPRIATE PERMIT ON HAND . ~ ~ . '~ ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE ~ ~ ~ ^ VISIBLE ADDRESS - . . . . . ~ ^ ' CORRECT OCCUPANCY ~ . ' , ~ _ . • ' ' ~ ^ VERIFICATION OF INVENTORY MATERIALS ~ ~ - ~ ~ " • ~ O UERIFICATION OF QUANTITIES , ' • . ' . ~ ^ VERIFICATION OF LOCATION . : . ". . ~ ' . ~ ^ PROPER SEGREGATION OF MATERIAL " ~ ~ ^ VERIFICATION OF MSDS AVAILABILITY ~ ~ VERIFICATION OF HAZ MAT TRAINING ~ ~ ~ ^ .VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ' ~ ~ ^ EMERGENCY PROCEDURES ADEQUATE ~ ~ ~ ^ CONTAINERS PROPERLY LABELED ~ - ~ ^ HOUSEKEEPING ~ ~ ~ ~ ^ FIRE PROTECTION . ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ' , ~ • " . ~ . . . ,. - ' KBF-6073 ANY HAZARDOUS WASTE ON SITE? ^ YES ^.NO . . . EXPLAIN: ' QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 - '. c~ ~ S 2 ~~,1 ~~I~~ ~~~i ~t3 c )C . ~ ~_ ~ ~ . Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site/Station # Business Site / Re s e Party(Please Print) . ' White - Prevention Services Yellow - Station Copy ; Pink - Business Copy' , FD 2155 (Rev. 09/OS . _ ~ \ ~ , .