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BUSINESS PLAN 4/28/2010
UNIFIED PROGRAM INSPECTION CHECKLISTI! SECTION 1: Business Plan and Inventory Program Prevention Services B _- E R_ S F t F/RE 900 Truxtun Ave. , Suite 210 Bakersfield, CA 93301 ARrM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSP ION DA INSPECTION TIME ADDRESS ago © ►r� �. 72- HONE NO. O OF EMPLOYEES FACILITY CONTACT G4-7J p �(� 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 "I ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS --a ❑ CORRECT OCCUPANCY "S] ❑ VERIFICATION OF INVENTORY MATERIALS -0 ❑ VERIFICATION OF QUANTITIES 2 ❑ VERIFICATION OF LOCATION 1x_1 ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY '*41 ❑ VERIFICATION OF HAZ MAT TRAINING --® El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES \ fJ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED --Q ❑ HOUSEKEEPING C� Vim' •-1 rcS [-- 1� ❑ FIRE PROTECTION SjZ@0_v IC_ C_ 1'1 I tJ govt \SiZ - r_5 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARD US WASTE ON SITE? EXPLAIN: x ►}`,i�( lni[i]7—g�yL T� YES ❑ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1�` In / Shift of Site /Station # Sit esponsible Party White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05