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Home My WebLink About406 CHICO_HMBP 6.16.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Prevention Services B 900 Truxtun Ave.; Suite 210 __ LRrN Bakersfield, CA 93301 r Tel.: (661) 326 -3979 Aftoll Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME t�l 2 C7 0 I' 1 ET ❑ ADDRESS PHONE NO. NO OF EMPLOYEES (_0 3-)-t4 -Z07_7 IS FACILITY CONTACT BUSINESS ID NUMBER L. C1'.', e 15 -021- lul �; Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS ET ❑ APPROPRIATE PERMIT ON HAND Cf' ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE C- ❑ VISIBLE - ADDRESS IJ ❑ CORRECT OCCUPANCY Lfi ❑ VERIFICATION OF INVENTORY MATERIALS Cam]- ❑ VERIFICATION OF QUANTITIES 0- ❑ VERIFICATION OF LOCATION 0- ❑ PROPER SEGREGATION OF MATERIAL a ❑ VERIFICATION OF MSDS AVAILABILITY C-1' ❑ VERIFICATION OF HAZ MAT TRAINING 0— ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 0 ❑ EMERGENCY PROCEDURES ADEQUATE 0— ❑ CONTAINERS PROPERLY LABELED ❑ ❑ HOUSEKEEPING ❑ FIRE PROTECTION Ia' ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES [�f ISO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ZA Inspector (Please Print) Fire Prevention 11" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05