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Home My WebLink About2700 M Street_HMBP 12.03.09UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Prevention Services e 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARrN r Tel.: (661) 326 -3979 NO OF EMPLOYEES Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ❑ APPROPRIATE PERMIT ON HAND G- C9 ADDIRESS . 7 o d sty -5- S- • PHONE NO. B( 2 S'000 NO OF EMPLOYEES FACILITY CONTr BUSINESS ID NUMBER 15 -021- 000530 TL(jj -ems ❑ Section 1: Business Plan and v ram ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND C 3o 3 o Li O ❑ 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 I ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING FIRE PROTECTION IV ❑ SITE DIAGRAM ADEQUATE & ON HAND Kdr -Quid ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES E� 0 QUESTION EGARDI THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 C Inspecto (Please Print) e v i n / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05