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Home My WebLink AboutBUSINESS PLAN 4/8/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rAR D 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ❑ - Z.W /O Y.� /� ✓f�S ADDRESS Z 3 01 6Jk, ke- 44^e- PHONE NO. NO OF EMPLOYEES 11,Y fin FACILITY CONTACT ,0W1e_4.--<- �C g ZS' 7v�, - 840 / BUSINESS ID NUMBER 15 -021- -roe ZG� Section 1: Business Plan and Inventory. Program .B- ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES f. or ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES pI ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES 2`10 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) FiP6 Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) KUMM3 White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05