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BAKERSFIELD FIRE, EP'T O
Prevention Services
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2101
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H Street
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SECTION 1 . Burin Tel 661 32 _3
ess Plan and Inventory Program ( > h 979�. ,`
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Fax: (661) 852-2171 1
FACIL.I.TY NAME
:} INSPECTIOkJ DATE INSPECTION TI
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ADDRESS PHONE NO. NO OF EMPLOYEES
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.. FACILITY CONTACT. � • BUSINESS.ID NUMBER
Consent to Inspect Name/Title
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ROUTINE
COMBINED ❑ iJOINT AGENCY.: MULTI-AGENCY ❑.-COMPLAINT El RE-INSPECTION
C '•V ; c=Compliance OPERATION
COMMENTS
V=Violation
—
APPROPRIATE PERMIT ON HAND (BMC. 1.65.080)
` SUSINES ACCURATE. (CCR:2729.1)
S PLAN CONTACT INFORMATION•
0 VISIBLE ADDRESS (CFC:505.1,BMC 15.52.020
CORRECT•OCCUPANCY (CBC:401)
VERIFICATLON OF INVENTORY MATERIALS
(CCR:2729.3)
El VERIFICATION OF QUANTITIES CCR:2729.4
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VERIFICATION OF LOCATION (CCR:2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CCR:2704.1)
El VERIFICATION OF MSDS AVAILABILITY (CCR:2729.2(3)(B))
❑ VERIFICATION O.F. HAZ MAT TRAINING � (CCR;2732)
11 . VERIFICATION OF ABATEMENT SUPPLIES AND,PROCEDURES (CCR:2731))
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(CCR:2731)
EMERGENCY PROCEDURES ADEQUATE
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El CONTAINERS PROPERLY LABELED (CCR:66262.34(F),CFC 2703.5)
HOUSEKEEPING..' (CFC:304.1)
E1 FIRE PROTECTION (CFC:903&906)
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El SITE DIAGRAM ADEQUATE&ON HAND` (CCR:2729.2)
ANY HAZARDOUS WASTE ON SITE? �WES ❑ NO Signatu t,. ROe`e�pt �k
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POST INSPECTION I STRUCTIONS:
Refer to the back of this ins ect`o re onto e ulator citations and corrective actions
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• Correct the vxolation(s)doted above by Signature(that all violations ns have ben corrected a's noted)
•. Within 5 days of correcting all of the violations s1 n and return a co of this age to
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Bakersfield Fire Dept.,Prevention Service's,2101 H Street,California 93301 "
Date
•. - Prevention � FD2155.( e White,—Business Copy Yellow—Busi ess'Co PY t be Se it in after return to Compliance Pink Services 12 11
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