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Home My WebLink About2600 G STREET_HMBP 5.13.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rAR o 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 r Tel.:. (661) 326 -3979 Fax: (661) 872 -2171 FACI ITY NAME o"IM &aw BW K INSPECTION DATE I,-- I3- D INSPECTION TIME ADD S PHONE NO. - NO QF � PLOYEES (�/(`U FACILITY CONTACT BUSINESS ID NUMBER ILCO� 15- 021 - �'Se0000 1•: Business Plan °a'nd Inventory Program- ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance) OPERATION V= Violation COMMENTS I ❑ 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 V ` ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING X ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES / NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 (70 T l Insp ctor (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Busin s i e _ Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05