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Home My WebLink About5500 DISTRICT Boulevard_HMBP 6.21.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B_ B__R s_ F 1. D 900 Truxtun Ave., Suite 210 PIKE Bakersfield, CA 93301 D a R nrM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS o J Oo ADDRESS PHONE NO. NO OF EMPLOYEES Ssoa 17 f4a - Sop / 1 FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15-021 - ❑ Secilon 1 A gslness 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 51 ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION JU ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY bi. ❑ VERIFICATION OF HAZ MAT TRAINING W, ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EZ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES IPd NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # ayL &Airs Business Site / Responsible Pa (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy - FD 2155 (Rev. 09/05