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Home My WebLink About4000 STOCKDALE HWY_DEOL HMBP 5.5.11Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST e R 5 F , 0 900Truxtun Ave., Suite 210 Program _ - FIRE -.. - Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory ! "R'M T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ❑ ADDRESS [�' 1 -1 V o PHONE NO. Z� NO OF EM LOYEES FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 0 (X 411� Seciion1: 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 LLJy ❑ VERIFICATION OF QUANTITIES ❑ , ❑ VERIFICATION OF LOCATION D ❑ PROPER SEGREGATION OF MATERIAL �1� ❑ VERIFICATION OF MSDS AVAILABILITY / ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES , ❑ EMERGENCY PROCEDURES ADEQUATE D ❑ CONTAINERS PROPERLY LABELED Ej ❑ HOUSEKEEPING ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND A ° ANY HAZARDOUS WASTE ON SITE? ❑ YES NO EXPLAIN' \\�\ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Q't—llro VA —7 ( 'r Inspector (Please Print) h6e Prevention / 1" In / Shift of Site /Station # While - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 ►J \_