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Home My WebLink AboutBUSINESS PALN 3/11/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services >3 E R S F t o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME C � �� INSPE TION DATE ON IN/SPP�%EC//T�1ION TIME GZV (D ADDRESS v VC) fj. PHO ENO. NO OF EM EES FACILITY CONTACT BUSINESS ID NUMBER 15 -021- Section 1: Business Plan and, Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v \ C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE VO VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES LL �LJ ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL pI ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING LRJ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE f1 ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION l� ❑ SITE DIAGRAM ADEQUATE & ON HAND nn� -tui� ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CAL US AT (661) 326 -3979 nspec or (Please Print) Fire Prevention / 1" In / Shift of to /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05