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Home My WebLink About11000 KERN CANYON ROADUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory.Program FACILITY NAME 112_s� CO R91 QLN/ ' N r 'S CI Prevention Services R R s F , .„ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM Tel.: (661) 326 -3979 b Fax: (661) 872 -2171 FACILITY NAME 112_s� CO R91 QLN/ ' N r 'S CI IN(., ION D/ GJ INSPECTION TIME ADDR�E.IS�S I () O O J K(5 a AJ GaN yo,a HONE NO. t' L -L -. NO OF EMPLOYEES ___5 FACILITY CONTACT BUSINESS ID NUMBER b 15 -021- � Section 1Buslss$Plan Inyento rY Pro 9r m he an d ' a ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY L ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance) OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND b ❑ BUSR1eSS PLAN CONTACT INFORMATION ACCURATE F ❑ VISIBLE ADDRESS \P, /I ❑ CORRECT OCCUPANCY b ❑ VERIFICATION OF INVENTORY MATERIALS i� ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL SL ❑ VERIFICATION OF MSDS AVAILABILITY a ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -k ❑ EMERGENCY PROCEDURES ADEQUATE ❑ �b CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING Cl FIRE PROTECTION ❑ 1P SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? SQYES ❑ NO nn EXPLAIN: � aeG -�� 40_Tt� •�fX� QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ,f��Inspector (Please Print) Fite Prevention / P` In / Shi of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05