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Home My WebLink About210 MONTCLAIR STREET_HMBP 5.5.11Y UNGFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program rARTM D r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME V INSPECTION DATE INSPECTION TIME ADDRESS �c) S. �1� 1 s E� PHONE NO. - 5 NO OF EMPLOYEES - FACILITY CONTACT BUSINES§ID NUMBER 15 -021- 10055-C, Section 1 ,,,l3UMnes's ;Plan and`Inventory Program XROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ,E] ❑ Business PLAN CONTACT INFORMATION ACCURATE �LJ ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ,,0 ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES II ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL �I ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING JZ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,el ❑ EMERGENCY PROCEDURES ADEQUATE P, ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING �7 ❑ FIRE PROTECTION Pf ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ❑ YES X NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Pleas Print) Fire Prevention / 1" In / Shift of Site /Station # While - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05