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Home My WebLink About1/4 Mile CBK 22UNIFIED PROGRAM INSPECTION CHECKLIST SECTION ,j : Business Plan and Inventory Program B_ E jD r `J Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE TION SATE INSPECTION TIME orlo , W ew iz-v c- ;1,(4 /7 / C) ! q 3C) ADDRESS I14 PHONE NO. %DI -3103 NO OF EMPLOYEES . MILE N ZZ- Business PLAN CONTACT INFORMATION ACCURATE _ D FACILITY CONTACT BUSINESS ID NUMBER &lk (Z�. 15 -021- ... 3ectlon 1Busmess Plan and InventoryrProgram S ROUTINE ❑ COMBINED' ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE E9 ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES X ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ;14- ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING J ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES 3r NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 JJ� ML.% \T rL IS Q Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busin Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05