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Home My WebLink About1121 21 STREETUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 4 B E R S F I D FIRE ABTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME .0 C. 111. �j�/.r- /�ilQP.A ✓CND is 7 INSPECTION DATE 4 Z/ /,g INSPECTION TIME /V/5__ ADDRESS PHONE NO. NO OF EMPLOYEES / / t / sr 327- V-700 Cv FACILITY CONTACT BUSINESS ID NUMBER 15-021 - ❑ VISIBLE ADDRESS 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 J Id ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS 1/ ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL I, ❑ VERIFICATION OF MSDS AVAILABILITY Ci ❑ VERIFICATION OF HAZ MAT TRAINING C1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES J P ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION Wr ❑ SITE DIAGRAM ADEQUATE & ON HAND / KBF -6M ANY HAZARDOUS WASTE ON SITE? [AYES ❑ NO EXPLAIN: 4rJ14sTlr U/L QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 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