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Home My WebLink About4100 WHITE Lane_HMBP 5.13.10Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST�I B E R s F t, D 900Truxtun Ave., Suite 210 _— - -- — - - -- — FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program AM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPEC ON D TE o INSPECTION TIME f &0 0 ADDRESS L11 00 � ! ,+� , IJ— HONE NO. _03 .,/,- NO OF EMPL EES FACILITY CONTACT f f USINESS ID NUMBER 15 -021- 6 ^� I° � n^ r ❑ Section1: 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 ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL` J ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ 4 FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES d NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 15,1191 Inspector (Please rint) Fire Prevention / 1s` In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05