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Home My WebLink About4501 SHEPARD STREET_HMBP 4.26.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory. Program Prevention Services. rL; ,_„ 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME �� Lou INSPECTI N DA E INSPECTION TIME �1 COMMENTS ADDRESS � � O/ N � 1 NO OF EMPLOYEES FACILITY CO TACT BUSINESS ID NUMBER 15- 021 - Qb Sectloin 1 B;usmess Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS Id ❑ APPROPRIATE PERMIT ON HAND "[ ' Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS pr/x CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING Rrl ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND d >> r✓I u ANY HAZARDOUS WASTE ON SITE? ❑ YES E!rNO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 n Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Resp ible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05