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Home My WebLink About5182 STOCKDALE Hwy_HMBP 5.21.10"j. UNIFIED PROGRAM INSPECTION CHECKLIST( prevention Services a R R S F i D 900 Truxtun Ave., Suite 210 - - - -- - -- - - -- — - - - - -- FiRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program " f Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME „ INSPECTION DATE INSPECTION TIME COMMENTS 1, - 3b 9 ADDRESS DHONE NO. NO OF EMPLOYEES FACILITY CONTACT r 3USINESS ID NUMBER 15 -021- ❑ VISIBLE ADDRESS � Se` tion 1: Business Plan and lnventory-Program 21 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES Id ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL d ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES . ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED C ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES 1 NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 ��y� /r Inspector (Plea a Print) Fire Prevention / 1s In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Miness Copy mot I-lFf FD 2155 (Rev. 09/05