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3701 MT VERNON (4)
.. .. � � � i � � • � BAKERSFIELD FIRE EPT. . UNIFIED PROGRAM - ..revention exvices INSPEC- TIO.N.CHEC.KLIST} Rs 1 Ln w .. :.::.. :.:::n:.:.n:...:.n .m mw w .rw. n }..v. w :......: ::::.:...:.,:::n::::.::•..:..,: Mgt - FARE 210 �. H �Str'eet : ' ...... , »... :. rvv4w.u, .wn�w:n•vn•rrv....::.•:: w: ::.v.:.w.,v:u .nw+u.w. .:. .m.... .:.� nv. ...... h, n„ y, nnu: isu:• m}: ny: yn} ir:,.:.' it} Y •.yFii::.::iv: }: }:Un:.n.,.::::. :v:.i.x:.:.x.,nu.n:wMV nv.w ,. ....,....., .m:...... .. 2 .....,. n,v .fir..,.} .mC.... ... C ........ ..... .... .... .....n. .......... .... ... .......... .. n,.:imm� w..nv .... 1:��'C�:^ nv::::: }.n•: }nv.v:nu:. iv..::n:::• ,.wmaM•n r , ... ... F.x..•„>}n rv, ..w,,,ry .,n•,..,•.. rv,.,..r... ... ...... ............. .....F.,...:....n...........:.. ... ., .r ,... .,:. }.... "`� "' r 4.x i f .... ...n v..n.:.. m. v: :v ..v ..... ......... ..v.....:: ...F.:::;•2•::2. <..Yi: }.vo: nvv. :..v.N :vF.CNi. ... ... v. ,w.v+v.uw,vmvnw.•v:xxrvv....'F� 'i } J.,unnvkvnwN. v. /.. r:n 4r.. < ,..nn .. .M.:i. }:iii.<:i:;:, }vy':pj:tt •i•.•i':,n .. .ry ..................n:. n. ..r.m:ry .n.n- ,.m•.rn.:w,iw:�vn ?.::'::: :'u" ",Fv::i:v:�><<''ri"ri•::Ciiii i,.f viFi:n....m..nns Bakersfield, CA 93301 2 SECTION 'I. :.. Business Plan''and Invento Pro' ra111 :. 5� :�,1 Tel.: 661 326 -3979 r/ J C ) �w Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION ' TIME - SS� ��,.. � .t �. J -:1. � �: ii ti: i .. '� v7 .T / �a 3 1; F. �� '4. h ♦.�` �'c, � y,,� S�w.�ar SS ` � `� 7a•✓,.. �t ` ,b•- • �{�' j • µ'_�l ; , <': " })} ## ... 1 i. t, A ^. ¢ i� "�� h } 5, j ° y: s ,(� a,; a fyp.,t� r� .0 ADDRESS ;:`A, �.:� . PHONE NO: NO OF EMPLOYEES _ ' .. �♦7 LI �{} �yi,.�� _ �;y.l ?�•..# � ',p t 7 v= Violation �. .._.. ...�. "ova Vel,� � � `" _'•"+'•3 �y_: s ❑` ❑ APPROPRIATE PERMIT ON HAND BMC: 15.65.0'80) FACILITY CONTACT � - BUSINESS ID NUMBER va -. y�, r� .ti ., q .' �•# `�"..''F ya � ~ ^G � 'y, '7"��i" ? .i f ... ✓: it Q .� ih ,.k ,. 3 ��i` "y�. i I tia °" ❑ Business PLAN CONTACT.INFORMATION ACCURATE . (CCR: 2729.1) 17 1;. 5t a.e� t-. `I ,��: � _ f� - � � �I:FC:. �4 �.j. �1 WY� .4.:,^!^1+T'++♦ ": x.Y. �rf ��++tt'�.2�Nr.� �'' U .y.�M+,dTM 1:�' y, Gd ,�, ieT.y,.•C f Nn.• �Ay . .....+. --. Consent to Inspecl Name /Title a ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT' ❑ RE- INSPECTION C= Compliance C V ( ) OPERATION COMMENTS- v= Violation �. s ❑` ❑ APPROPRIATE PERMIT ON HAND BMC: 15.65.0'80) tia °" ❑ Business PLAN CONTACT.INFORMATION ACCURATE . (CCR: 2729.1) , .. ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY C��: <'_�`:�° (CBC: 401) z x -rvT+ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3). ' r VERIFICATION OF QUANTITIES (CCR: 2729.4) t O" [:1 VERIFICATION OF LOCATION (CCR: 2729.2) ' PROPER SEGREGATION OF MATERIAL (CFC: 2.704.1) E ❑ VERIFICATION OF MSDS AVAILABILITY '(CCR: 2729.2(3)(b)) . E' ❑ VERIFICATION OF HAZ MAT TRAINING " (CCR: 2732) }^❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES CCR: 2731(c)) ,... n,> ❑ EMERGENCY PROCEDURES ADEQUATE-., (CCR: 2731) CONTAINERS PROPERLY LABELED . (CCR: 66262.34(f), CFC: 2703.5)K�, ' ❑~ 1:1 HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) -' ' NY HAZARDOUS WASTE ON SITE? YES ❑. N . rr , .+dti F.+•: r 1. '. t .,, p' J' =FY, � f< � ,., `..,r ''f'' -. ,+1 wy ..,a's3' . '' Sx nature Q Reee ,y s_ k� , {. % , i • f t � ,t� f ": rar,-f r�fi <� A -i : J !k`i 4 «Y " f , . � � _r ''r. : Explain:� .. � - . s �' ` S ♦F �; -� }Yr ; POST INSPECTION INSTRUCTIONS: "I { .. W Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) -. • Within 5 days of correcting all of the violations sign and return a co of this page to: Y g g copy p ga Bakersfield Fire Dept., Prevention, Services, 2101 H Street California 93301 �• Date White - Business Copy Yellow = Business Copy to be Sent in after return to Compliance Pink -- Prevention Services Copy FD2155 (Rev 6//10,)