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Home My WebLink About5701 DISTRICT Boulevard_HMBP 5.19.10UNIFIED PROGRAM INSPECTION'CHECKLIST SECTION 1: Business Plan and Inventory Program i Prevention Services R p R S r I 0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D ARTM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME CA ! K ADDRESS PHONE NO. NO OF EMPLOYEES 7o 1 -M.r i Lv F77 -7aaa FACILITY CONTACT BUSINESS ID NUMBER . T.�,� -. T,2ELVA 15- 021 - Cjpo?qq- t r � s Section 1Busl @Hess Plan'and Inory vent Program ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION E RATIO N � ) V= Violation COMMENTS K ❑ APPROPRIATE PERMIT ON HAND �I ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS El ❑ VERIFICATION OF QUANTITIES rA- ❑ VERIFICATION OF LOCATION lk ❑ PROPER SEGREGATION OF MATERIAL 5L ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING {� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES R. ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED (� ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES �VO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 o rT I �1�46DvrcJ Sh 13 I3 �2Sy� 1�, Y =NSPEci.T�tiJ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) UN'MaNfjO!� White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05