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Home My WebLink About511 19TH_HMBP 2.10.10L./ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 9 FIRE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME vv / 9 ❑ ADDRESS PHONE NO. NO OF EMPLOYEES BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE 3z*"- 1/74 /U FACILITY CONTACT BUSINESS ID NUMBER �on/ STAG Gh'� 15 -021- o o ' �xKf w* R K . o It ROUTINE El COMBINED 11 JOINTAGENCY MULTI-AGENCY COMPLAINT 11 RE-INSPECTION C V ( C= Compliance` OPERATION V= Violation / COMMENTS / 9 ❑ APPROPRIATE PERMIT ON HAND I/ ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ 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 ❑ 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? EXPLAIN: ❑ YES 2/N 0 Kbh -WIJ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 A IAk77%,=,2ri Z- PL -� �' Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Business Site / Respons le Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05