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300 GOLDEN STATE AVENUE _HMBP 7.2.10
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rAff 0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NA E INSPE TION DATE INSPECTION TIME CN_N�4� D6 7 2, 2016 A%:, ADDRESS V DHONE NO. bbl -IIOD NO OF EMPLOYEES S �� cx tkS CA. 3 El B--' VERIFICATION OF INVENTORY MATERIALS oAjftz '' \ �, FACILITY CONTACT 3USINESS ID NUMBER —©- ❑l 2- / VERIFICATION OF LOCATION 15- 021 - CM c+-7 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS eQ ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS YQ ❑❑ CORRECT OCCUPANCY El B--' VERIFICATION OF INVENTORY MATERIALS oAjftz '' \ �, ❑ VERIFICATION OF QUANTITIES —©- ❑l 2- / VERIFICATION OF LOCATION R ❑ PROPER SEGREGATION OF MATERIAL Q -'❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE 6740 CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION oe ❑ SITE DIAGRAM ADEQUATE & ON HAND KUV-bUld ANY HAZARDOUS - WASTE �ON/SITE? ` �❑ YES JK NO 01 EXPLAIN: '&) -e-Gxt TCJ�gs,Q�T4' (le-cs S4° QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �p e Inspec r (Please Print) Fire Prevention / 1" In / Shift of Site /Station # usiness Site /Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05