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Home My WebLink About4603 MING AVENUE_HMBP 5.5.11Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST a e R s F , 90OTruxtun Ave., Suite 210 _ — — - — F RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARiw, Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ,/ V —5– 'I SD ADDRESS ��n� Lt 30 r 1 PHONE NO. - �v �3 O O� TYEES ��LL / /�. FACI TY CONTACT BUSINESS ID NUMBER 15 -021- pv 3 Section 1: Business Plan and Inventory Program OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS jS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY IR ❑ 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 IC ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZ DOUS WASTE ON SITE? EXPLAIN: — Q J�— 101/Q^� y4a k ❑ NO n� z'4f I .*; I 'q('� QW -CUlJ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 1A /)L 71 T 77 / V \ Inspector (Please P 'nt) Fire Prevention / 1" In / Shift of Site /Sta on # us nes Si sponsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05