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Home My WebLink About2801 H STREET_HMBP 5.28.10UNIFIED PROGRAM INSPECTION CHECKLIST) prevention Services 900 Truxtun Ave., Suite 210 -- - FIRE Bakersfield, CA 93301 D ARTM r Tel.: (661) 326 -3979 SECTION 1: Business Plan and Inventory Program j � Fax: (661) 872 -2171 FACILI 051.61440:5 1� 4, INSPECTIONDATE _0 S/ INSPECTION TIME ADDRESS tT PHONE NO. NO OF EMPLOYEES APPROPRIATE PERMIT ON HAND FACILITY CONAI^ I USINESS ID NUMBER 15 -021- � Secti: on 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 ❑ 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 & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES JQ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 e017 a5nn t Inspector (Please Print) Fire P evention / 1" In / Shift of Site /Station # Busines i e / Respolisible Party (Please White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05