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Home My WebLink About2520 H STREET_HMBP 9.27.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program >aPrevention Services Rs 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FAC NAME �` INSPECTION DATE rt -al - D INSPECTION TIME 15 C�,!!\\ ADD ESS PHONE NO. t/UUSSIINESSIDNUUMBER NO OF EM 4 FA CONTACT �IPLOYEES I - Kam 15 -021- Section to 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 ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE R ON HAND KBF -6013 ANY HAZARDOUS WASTE ON SITE? YES ❑ NO EXPLAIN. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ;315-Le!5 , "a, (13 Dzf(f Inspector (Please Print) Fire P vention / 1s' In / Shift of Site /Station # Business Site / Respo sible Party (Please Prin White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05