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Home My WebLink About410 & 414 21ST Street_HMBP 5.6.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services R r R 5 r, ,•„ 900 Truxtun Ave., Suite 210 FIRE' Bakersfield, CA 93301 D AR1iM Tel.: (661)326 -3979 Fax: (661) 872 -2171 FACILITY NAME Q Q\-� INSPEFFTION DATE INSPECTION TIME COMMENTS 5/ b aolo 20 ,..,%.- ADDRESS X10�� sT PHONE NO. 323-73c),'� NO OF EMPLOYEES If FACILITY CONTACT BUSINESS ID NUMBER . 14 - 15 -021- vmb lD D. ` a VISIBLE ADDRESS 3ectlon 1Busmess Pian an, d Invento �� ' J, 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 YJ ❑ PROPER SEGREGATION OF MATERIAL IZI ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES YJ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARD�AO�US a , WASTE ON YES ❑ NO EXPLAIN: olnl � O\ ITE? QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT-(661) 326 -3979 I'Q EG O C\ s) OIN'� 'MA b Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # •yt( White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05