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Home My WebLink About3701 MT. VERNON AVENUE_HMBP 3.9.11UNIFIED PROGRAM INSPECTION CHECKLIST], SECTION 1: Business Plan and Inventory Program V , A . / B 8 R S F I D FIRE ABTM fl Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME 1Pk(E55 �C-- INSPECTION DATE 3 -a_zz�1 ( INSPECTION TIME 15* Mk,,j ADDRESS Z° t P ONE NO. VI-1101 NO OF EMPLOYEES FACILITY CONTACT 1 � O O USINESS ID NUMB15 -021. 35 0 / Section 1 ,Business Plan and Inventory, Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS �f LISA 13 APPROPRIATE PERMIT ON HAND L'S / ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS �Q t ❑ 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? ❑ YES ❑ NO EXPLAIN QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 � �a� S -4 �� &111�& Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Businelss Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05