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Home My WebLink About107 Lake StreetUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME 5 V tGd Services nRTAIPrevention 900 gYuxtun Ave., Suite 210. HONE NO. Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME 5 V tGd INSPECTION TTE INSPECTION TIME jS:ZC� ADDRESS II HONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15- 021 - Qz—a 37 -s- 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 ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION �I ❑ 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 D ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: Q7,5 S REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �l,es 24 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 ..