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Home My WebLink About6420 DENNEN Street_HMBP 6.10.10Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST f B e R s F , 0 900Truxtun Ave., Suite 210 -- - __ I F/RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ABrM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME <�:A La F orzA_,xA t 1 Ot - 01 i 11 b 1066 ADDRESS PHONE NO. NO OF EMPLOYEES ❑ Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- 002( 104 Sectlo$n,1 Business P,la:n and Inventory Progeam - ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION V= Violation COMMENTS iki ❑ APPROPRIATE PERMIT ON HAND ICI. ❑ Business PLAN CONTACT INFORMATION ACCURATE �i ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY Cy- ❑ VERIFICATION OF INVENTORY MATERIALS CNt ❑ VERIFICATION OF QUANTITIES ja ❑ VERIFICATION OF LOCATION i7- ❑ PROPER SEGREGATION OF MATERIAL jk ❑ VERIFICATION OF MSDS AVAILABILITY p. ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES V• ❑ EMERGENCY PROCEDURES ADEQUATE I k ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING VL ❑ FIRE PROTECTION ':S- ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES t4-N0 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �o-•s- -r a.�.4tC�t�tJ S � • 1313 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # pA A-NnJ £D S:`Tr- Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05