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2033 H STREET
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B A E R S F I D #M FIRE ARrN T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME O d G• C INSPECTION DATE 9, & INSPECTION TIME ADDRE ©� 3, PHONE NOi NO OFMPLOYEES APPROPRIATE PERMIT ON HAND - /'3o e FACILITY ONTACT USINESS ID NUMBER 15 -021- 1p0'QS'0 L 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 2T' ❑ APPROPRIATE PERMIT ON HAND e ❑ Business PLAN CONTACT INFORMATION ACCURATE 2r ❑ VISIBLE ADDRESS if ❑ CORRECT OCCUPANCY f� ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES .Er ❑ VERIFICATION OF LOCATION Td' ❑ PROPER SEGREGATION OF MATERIAL Er ❑ VERIFICATION OF MSDS AVAILABILITY Rr ❑ VERIFICATION OF HAZ MAT TRAINING 17' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Er ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION C'f ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES la NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 - PI OA)4k:E lc< I & ///�/' Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station # ine s i e FResl5ohsible P PI ri C White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05