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2525 EYE STREET_HMBP 5.13.10
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services Bq_A E R S F 1 0 900 Truxtun Ave., Suite 210 F /RE Bakersfield, CA 93301 D ARrm Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FAC ITY NAME INSPECTION DATE INSPECT[ QN TIME COMMENTS ❑ ADDRESS PHONE NO. O OF PLOYEES AS25- 3 _7 54-12 FACT TY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS OOH 15 -021- ©�p ❑ If }- ,� Section 1 Busmes�sPlan and Inventory Program � � � � `,�� , �� v 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 yN4, l� ❑ CORRECT OCCUPANCY ✓�( ❑ VERIFICATION OF INVENTORY MATERIALS Vim ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING 11 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 'x ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES 11,,No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 &cd Z). aA-V Inspector (Please Print) Fire Prev tion / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy No ou is Pri FD 2155 (Rev. 09/05