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Home My WebLink About5401 White Lane_HMBP 6.21.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services A FIRS-171 . n 9001Yuxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D ARTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME E ar rj� /t/Oa ADDRESS PHONE NO. NO OF EMPLOYEES ❑ Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER 15- 021 - C) c�aSQ �/ A,rL- 3ection 1 • Business .Plan and � ory Program �emm ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT— ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE �$— ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY P. ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING tom.. ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING tO ❑ FIRE PROTECTION 4— ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES ENO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # 141 14 1 jr�al Iffusifiess SI e / Rellpdrigible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05