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Home My WebLink AboutBUSINSS PLAN 5/19/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services H R R 5 F I o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARrM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME f � (Vic, 17M INSPECT }ON DATE 5i INSPECTION TIME 39 `� CA �- I i 11 /0 ❑ ADDRESS I � I ,� � � � P �N�O _ � � O OF EMPLOYEES S FACILITY CONTACT Or. L, w, or BUSINESS ID NUMBER 15 -021- �Sect-ion 1 -; Busine'ss >Plan. and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ .MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS 2 ❑ APPROPRIATE PERMIT ON HAND Fled/ 1:1 Business PLAN CONTACT INFORMATION ACCURATE LM ❑ VISIBLE ADDRESS Y ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ 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 EY ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? 2/Y E S ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 A I V -ik, 113 o�) Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business espons P rty Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05