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Home My WebLink About3001 MING AVENUE_HMBP 2.11.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services .4. R %,. D 900 Tiuxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 AR 'rM T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME � INSPEC IONpAT E I INS P�TIOTIME ADDRESS 3t I r4 (a �-� PHONE 0. NO OF EMPLOY S 3 FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 7gT _A_ ❑ Section 1_: - Business Plan and Inventory Program -�� ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS -411 ❑ APPROPRIATE PERMIT ON HAND --El ❑ Business PLAN CONTACT INFORMATION ACCURATE --l] ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY _1� ❑ VERIFICATION OF INVENTORY MATERIALS 0 ❑ VERIFICATION OF QUANTITIES _'S ❑ VERIFICATION OF LOCATION -E!] ❑ PROPER SEGREGATION OF MATERIAL r 9 ❑ VERIFICATION OF MSDS AVAILABILITY B ❑ VERIFICATION OF HAZ MAT TRAINING __5 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 9 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING -,® ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? 4 YES ❑ NO EXPLAIN: W 6' L- MOT-Cp1L_ CAL_ Q - _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Ins or (Please Print) Fire Prevention / 1" In / Shift of Site /Station # usiness Site / Re ponsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05