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Home My WebLink About3650 MING AVENUE_HMBP 5.3.11UNIFIED PROGRAM INSPECTION CHECKLIST�j SECTION 1: Business Plan and Inventory Program Prevention Services B E R S F t o 900 Truxtun Ave., Suite 210 *FIRE Bakersfield, CA 93301 ARFN TM T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME i � ❑ U ADDRESS PHONE NO. NO OF EMPLOYEES 3G 5 t 3 6 FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- a 4 7Lt oU ❑ Section 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 ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ,DYES ❑ NO EXPLAIN: w�—� �(oLl �n QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Prevention / 1" In / Shift of Site /Station # Kar-buli White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05