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Home My WebLink About3608 Brisbane Avenue_HMBP 4.16.10J F_ or UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services E R S F I o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARfM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME v C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME ❑ APPROPRIATE PERMIT ON HAND o 1 yI ❑ ADDRESS �1X PH ENO. NO OF EMPLOYEES 0 8 s A ' ❑ 2-6oiz FACILITY CONTACT ❑ VERIFICATION OF INVENTORY MATERIALS BUSINESS ID NUMBER ❑ VERIFICATION OF QUANTITIES 15-021-002/009, Sectioln` "1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND yI ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE �1X ❑ VISIBLE ADDRESS YJ ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES f� ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY L�1 [[� ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE C� ❑ CONTAINERS PROPERLY LABELED l� bCP ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES P 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) nnr -outs White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05