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Home My WebLink About501 E 19TH_HMBP 2.10.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rAft o 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ❑ ADDRESS DHONE NO. NO OF EMPLOYEES -r14 �✓� ?zf'" yos FACILITY'CONTAC 3USINESS ID NUMBER % � 15 -021- J Id ❑ -Sect on 1 Business Plan and inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND 1/ ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS J Id ❑ CORRECT OCCUPANCY 11 VERIFICATION OF INVENTORY MATERIALS _ / LQ ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL 2( ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE Cy ❑ CONTAINERS PROPERLY LABELED Er ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ;NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 'It In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05