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Home My WebLink AboutBUSINESS PLAN 4/2010UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services _ _ i 41�. 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARrN r Tel.: (661) 326 -3979 SECTION 1: Business Plan and Inventory Program j A1111111101 Fax: (661) 872 -2171 FACILITY NAME � n L42-A- We cr INSPECTION ATE ,5/ / .?r2 / U INSPECTION TIME ADDRESS AA� H NE N6. Ft 97.7•x -7 NO OF EMPLOYEES —�-- FACILITY CONTACT BUSINESS ID NUMBER C v "Section 1: Business Plan and Inventory Program COMMENTS ❑ 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 �I ❑ VERIFICATION OF INVENTORY MATERIALS IF ❑ VERIFICATION OF QUANTITIES IF ❑ VERIFICATION OF LOCATION IP ❑ PROPER SEGREGATION OF MATERIAL to ❑ VERIFICATION OF MSDS AVAILABILITY 1 ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ❑ EMERGENCY PROCEDURES ADEQUATE I� ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING 10 ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND rcer -aura ANY HAZARDOUS WASTE ON SITE? ❑ YES NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspec r (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) 21/0 While — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05