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Home My WebLink About4313 SHEPARD STREET_HMBP 4.26.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Prevention Services R, A r: R S T.,.. 900 Truktun Ave., Suite 210 FIRE Bakersfield, CA 93301 D ARTM Tel.: (661) 326 -3979 Fax: 872 NO OF EMPLOYEES (661) -2171 FACILITY NAME INSPECTION D INSPECTION TIME COMMENTS ❑ APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES JA a2 ' /✓ FACILITY CONTACT BUSINESS ID NUMBER _ 15- 021 - pGZ�� Yp Section 1 Business Plan and Inventory Program �a �... m ; ❑ ROUTINE ❑'^COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑. RE- INSPECTION C v ( C= Compliance` / OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE QVID VISIBLE ADDRESS ❑ CORRECT OCCUPANCY i ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? J TES ❑ NO EXPLAIN: t✓ ,> r– "5ro7itN2 - W10 1-OR- 0 � I QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site /Station # Business Site / Res po ibis Party ( I ase Print) White — Prevention Services Yeflow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105