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Home My WebLink About331 H STREET_HMBP 5.6.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program �► Prevention Services R A r: It s F I D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D ARTM Tel.: (661) 326 -3979 Fax: 872 NO OF EMP OYEES (661) -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ❑ ADDRESS PHONE NO. NO OF EMP OYEES FACILITY CONTACT ' BUS ESS ID NUMBER Pat V-1 bil. 15-021 - Section 1BUSIne$.$ Plan;and Inventory Program. k ❑ 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 6L ❑ VISIBLE ADDRESS Q- ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS I ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ,(k ❑ PROPER SEGREGATION OF MATERIAL ❑ -VERIFICATION OF MSDS AVAILABILITY IDC ❑ VERIFICATION OF HAZ MAT TRAINING 9- ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 0 ❑ EMERGENCY PROCEDURES ADEQUATE 49, ❑ CONTAINERS PROPERLY LABELED 6Z-. ❑ HOUSEKEEPING 6L ❑ FIRE PROTECTION 4E- ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES 5( NO QUESTIONS — TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 •'ice' r ( )-f t '/ �' , #,/ 'A < lw<�e Insp for (Please Print) ~ Fir revehtion / 1" In / Shift of Site/Stan # B sihe s Site Respo ible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05