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Home My WebLink About3301 19th Street _HMBP 6.14.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B E R S IF ti 0 900 Truxtun Ave., Suite 210 F /RE Bakersfield, CA 93301 ARrN r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME s�aK /JS INSPE TION DATE � INSPECTION TIME �oyo ?fl ADDRESS +� / ,` , / PHONE _ I ` 3 r , / /�L S NO OF EMPLOYEES 6 FACILITY CONTACT /� U f.2�q LG/ee� ! ✓ ,a►1 4' / Po r� a.-, BUSINESS ID NUMBER H-02 1 /Gt�Q 3s 7 Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE 1251 ❑ VISIBLE ADDRESS �i ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 1< ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION (� ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING I� fix` ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON/SIITE? YfES X NO EXPLAIN: /- 41IG QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # ` U If0le / Responsible P:?_P4ase Print ..' o i e �. ^ White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05