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Home My WebLink About1230 21 STREETUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 1 rARrN. D FIRE r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 7ar -/c�� (,/- Zi - 20/0 /S/oo ADDRESS PHONE NO. NO OF EMPLOYEES ❑ 3VS- 2577 M FACILITY CONTACT USINESS ID NUMBER 15 -021- ❑ Section 1: Business Plan and Inventory �Program, Z ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS E1� ❑ APPROPRIATE PERMIT ON HAND LI ❑ Business PLAN CONTACT INFORMATION ACCURATE M ❑ VISIBLE ADDRESS J I� ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL J� IJ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Y ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES /N EXPLAIN: rcnr -aids QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 21155 (Rev. 09/05