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Home My WebLink About390 FAIRVIEW ROAD_HMBP 12.17.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program R E R S F I D FIR D ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME Gam` +FOf`a�w W _ v� INSPECTION D TE 2 k-( `'zolo INSPECTION TIME D : o0 ADDRESS r, PHONE NO. NO OF LOYEES 0 P FACtdTY CONTACT BUSINESS ID NUMBER Zz)tL C 15- 021 -(�Z \O EA N:o� Section 1: BusinesWan, d Inven tory Program � �� = ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND P ❑ BUSI11eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY 16 ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY 17 ❑ 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 net -burs ANY HAZARDOUS WASTE ON SITE? ❑ YES C(-NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ��Y 'o'_o " 5-6 0N OAP, Nv� ct, 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