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Prevention Services
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21.01 H Street
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akersfield,' CA 9 3 3 01
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FACILITY NAME
INSPECTION DATE INSPECTION TIME
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Consent to Inspect Name/Title _
1411 RO'UTINE ❑ COMBINED 0JOINT AGENCY MULTI-AGENCY ❑ COMPLAINT 0 RE-INSPECTION
C V C=Comp�iance OPERATION
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COMMENTS
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V=Violation -
0 0't�.. APPROPRIATE.PERMIT,ON HAND (BMC: 15.65.080)
13 El Business PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1):
EY ❑ VISIBLE ADDRESS
(CFC:505.1,BMC: 15.52.020)
0.. ❑ CORRECT OCCUPANCY
(CBC:401)
0�. ❑ VERIFICATION OF I MATERIALS.
NVE•NTORY (CCR:2729.3)
Er! 0 VERIFICATION OF QUANTITIES (CCR:2729.4)
0 VERIFICATION OF LOCATION (CCR:2729.2)
0' ❑ PROPER SEGREGATION OF MATERIAL (CFC:2704.1)
0"Ir. 0 VERIFICATION OF MSDS AVAILABILITY
(CCR:2729.2(3)(b))
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13 0 VERIFICATION OF HAZ MAT TRAINING (CCR:2732)
11 y ❑ :VERIFICATION OF ABATEMENT SUPPLIES&PROCEDURES (CCR:2731(c))
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�. 0 EMERGENCY PROCEDURES ADEQUATE CCR:27
( 31)
0 ` 0' CONTAINERS PROPERLY LABELED
(CCR:66262,34(f),CFC 2703.5)
0` ❑ HOUSEKEEPING (CFC 304.1) .
0 n rIkE PROTECTION (CFC:903&906)
F
_ R_ FJ SITE DIAGRAM ADEQUATE&ON HAND (CCR:2729:2)
_
ANY HAZARDOUS WASTE O'N SITE? 0'` '`E.S 0 NO _inn f ..,
Signature o ee
Explain-
POST INSPECTION INSTRUCTIONS.
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Correct the violations noted above by,
Signature nature that all violations have been corrected as noted)
A Within 5 days of correcting all of the violations,sign and eturn a copy of this page to;
Bakersfield Fire Dept.,Prevention Services,2101 H Street,California 93301
Date
i
White—Business Copy Yellow-Business Copy to be Sent in after return to Compliance Pink—Prevention Services Copy FD2155 Rev 61110).