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Home My WebLink About3601 AUBURN STREET_HMBP 4.9.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rARTN , n 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 r Tel.: (661) 326 73979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS / HONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021.6 T36 Z- e Section 1 B,uslness Plan; and�InventoryProgram ��. PLROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND (I� ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY �I ❑ VERIFICATION OF INVENTORY MATERIALS g ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION �I ❑ PROPER SEGREGATION OF MATERIAL fT ❑ VERIFICATION OF MSDS AVAILABILITY N ❑ VERIFICATION OF HAZ MAT TRAINING f ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C ❑ ' EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED �I ❑ HOUSEKEEPING ❑ FIRE PROTECTION �I ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05