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Home My WebLink About4100 TRUXTUN AVENUE_HMBP 5.13.11Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST a E R S F t D 900TruxtunAve., Suite 210 I -- -- — - - - -_ FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTH r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME ([ INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT fie, ,%r BUSINESS ID NUMBER 15 -021- OC7 Z f 3 Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS 14 ❑ APPROPRIATE PERMIT ON HAND 91 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE iR ❑ VISIBLE ADDRESS 05 ❑ CORRECT OCCUPANCY ZI ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION F1 ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING 4h ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ® ❑ HOUSEKEEPING 14 ❑ FIRE PROTECTION ,21 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? A YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site a arty Please While — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05