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Home My WebLink About5717 GWENDOLYN STREET_HMBP 1.27.10UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services A F R S F , _o 900 Truxturt Ave., Suite 210 IRE Bakers - - -_ - -- Ffield, CA 93301 SECTION 1: Business Plan and Inventory Program "Rr"� T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FAQLLITY 14AME i rN� I'Va ✓' INSPECTION DATE INSPECTION TIME !.3 , :F0 ADDRE�� C / r 6- 71 S� 044P1J ^� ( G H �^` NU� � IN77 O OF EM EES FACILITY CONTACT BUSINESS ID UMBER 15 -021- '�s'�CNG/ L 1 BUSIneSS PLAN CONTACT INFORMATION ACCURATE 5ection ,,- Business Plan and Invento y Program j ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION Ii2 -r�•� C v C= Compliance OPERATION V= Violation COMMENTS Ile ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS (' ❑ CORRECT OCCUPANCY f0 ❑ VERIFICATION OF INVENTORY MATERIALS ((((� ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION �I ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING PI ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1Z ❑ EMERGENCY PROCEDURES ADEQUATE QI ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING l�J ❑ FIRE PROTECTION I ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ■LM� ■M0t47 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # sine Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05