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3701 MT VERNON (6)
BAKERSFIELDFIRE EPTO ww Prevention Services UNIFIED PROGRAM INSP=ECTION CHEC`KLI,ST-1:::::::1- 2101H g.. R..:.8 F L .D .... .... .. Street FIRE : ... .... .. ........:. .•,..::. .:+.. ., :f.. n...,,.... :.v .. r. : �.nv.: rx,,y:. ....:?Q......m::v'M: NY�iY.. �. n...: ..:.....f.:.... ...n n....wn.... :. .: .. y..w„m:J n ::v.: -:v - :wv.., :v::: N::.: •• vin:::.::: n :::::::::: ::..v.».•.w::: :::.:.w•:.vmvn•.• : • :• :::.....:: h.; . ::...:...:...n..........n.. ...................... ............a.n„mJ.:.......n:,; v ::. v...:.:.::... ... : ....... ..+v ............. rc.. •. .,.�U�.Q .... :....I.... E....hn..:.... n.v... :.. nv .:.::::........v..t. n..n.+..........+. :...nn.v.,n.. m: ...v n..+. ... .. ..�'v.. ..1".: .. \.. .: •4.Niv.1 Nw.wvnvmvvrvn,.vnr».r...... Y : nv >.•:+:.\'v. +.::v:::::: n:v.:ve •:::::... ....:: v:�w: �wn,wx.wxn m:x ..✓ vn .......... \:.:. +::. ..v.. .::: nv. .: n.: .: ::: :: ::. n...»;. \v,...:Jw:n :n:»:v \h n.+N:ny .,n w.. v m,i .:..n. ... n,........ w.>. wnvwMWm: nF+: vmvmw. v.:•. v: nv.. n,. x: J: Y: is :t ...........::................ 1 .•u ,a R r r B akersf eld CA 9 3 3 01 SECTION.A;, _ _ Business Plan and Inventory'. Program �Y�.� e £r; T 1.. (661) 326 3979.. Fax: (661) 852 -2171 FACILITY NAME ri0 ROUTINE El ,COMBINED ❑ . JOINT AGENCY ❑ MULTI- AGENCY FT-,COMPLAINT ❑ RE- INSPECTION INSPECTLON DATE T� INSPECTION TI E ADDRESS �q; i y{ �.. '� PHONE NO. NO OF EMPLOYEES O '� ? y��� � � .a`•.0 F �..p� 4��y.Y'� V',v� •� '.` d•" •n� L, `N.... ��.C. ;.i. ��/ � �!'I CJ 4� SNi1 �y{? >! .h yY, 4�. ,ti. .�1�' •cp � .'fir • r f i` "•~ 1' }�ti x,�� S.'+1.5:1yy Mfi ,..+r ar' � FACILITY CONTACT BUSINESS'ID' NUMBER it �� .r's` ti- i k � ifp i.. y?'. Jr �y 1{. �� •� �l'.' `�`� 1 � u 1 a'' ,'� � �9 ' d. •-lyf !_ } �S..M*r y``t- { k."`'µ 1 f"1; 1' l •„! M.� '� J,1 �Y Y: int 'L<,G++^vt�. fb.or -!• V t '1'K:,' ^�+..w� d, Kr✓-" ,M1t �' w,.. tip t+•,. )1Y ti� - Rt r• e✓'i �.:.•. "�` /GA. 'J`..'N ,i , �1I+� 4c` Y' �.1 i-r. , f( � �_.. y Consent to Inspect Name/Title '. �r Nye'' a1{�.'.` bt a`. •s`� �i.�.' ��Y'iA if •. _ry�,� ` MEE= . . . . . . . . . . I! ri0 ROUTINE El ,COMBINED ❑ . JOINT AGENCY ❑ MULTI- AGENCY FT-,COMPLAINT ❑ RE- INSPECTION Q.-Compliance __ ,OPERATION COMMENTS V- Violation ❑ APPROPRIATE PERMIT ON HAND (BMC:15.65.080)- ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE _ (CCR: 2729.1) i Q. El VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) J • ¢ ❑ CORRECT OCCUPANCY (CBC: 401) E]. 0 VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) -, /'�� ❑ VERIFI'CATI'ON OF QUANTITIES (CCR: 2729.4) El VERIFICATION OF LOCATION (CCR:' 2729.2) 11 0', PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) . 0 0 VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2:(3)(b)) El" ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ET 0 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES . (CCR: 2731(c)) ::❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) • 0 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC.- 2703.5) ❑ 0 HOUSEKEEPING (CFC 304.1) . 0 FIRE PROTECTION (CFC: 903 & 906) i ❑ SITE DIAGRAM ADEQUATE & ON HAND' (CCR: 2729.2) ANY HAZARDOUS WASTE O N S' I'T E? 0,1 Y E S ❑. NO Signature of Receipt ' y w POST INSP'CTION INSTRUCTIONS: °* t • 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 copy of this page to:r b 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 6HIO) Date White —Business Copy Yellow Business Copy to be Sent: in after return to Compliance . Pink — Prevention Services Copy FD2155 (Rev 6HIO)