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Home My WebLink About530 21 STREET_HMBP 2.10.10V UNIFIED PROGRAM INSPECTION CHECKLIST�l SECTION 1: Business Plan and Inventory Program Prevention Services B E R S F I o 900 Truxtun Ave., Suite 210 F1JFE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME e IZ IS S INSPECTION DATE Z/O / INSPECTIONTIME 2 /ws ADDRESS PHONE NO. O OF EMPLOYEES S V ST (40 3Zy Bolo /0 FACILITY CONTACT 3USTNESS ID NUMBER �v 15-021 - $ectlon 1 Business Plan, and- In an�ve . ntor ,Pro ra . 9 m " ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS 1 Q] ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS 1 !(J ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS Vf ❑ VERIFICATION OF QUANTITIES I� ❑ VERIFICATION OF LOCATION ai 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 ❑ HOUSEKEEPING J Id ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? Id YES ❑ NO EXPLAIN: Le_)Qfi_-T o1 z, QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busines Site / Responsibly (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy V FD 2155 (Rev. 09/05