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a ers 1eld, CA, 93301'
S ECT 1 O N 1"6'3979: Business Plan an I• Te1. 61 d nventProgram (�
Fax: (661) 8 52 -2171
FACILITY NAME
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.ROUTINE "< 0. COMBINED' ❑ JOINT AGENCY , " . , • E MULTI AGENCY O COMPLAINT. ❑ RE-INSPECTION
INSPECTION' DATE
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ECTION TIME
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Consent to Inspect Na me /Title
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.ROUTINE "< 0. COMBINED' ❑ JOINT AGENCY , " . , • E MULTI AGENCY O COMPLAINT. ❑ RE-INSPECTION
C V C= Compliance
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OPERATION COMMENTS
V= Violation
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INFORMATION ACCURATE (CCR: 2729.1)
` 0 . VISIBLE ADDRESS
CFC: 505.1, BMC; 15.52.020
CORRECT OCCUPANCY
(CBC: 401)
QN VERIFICATION INVENTORY
OF
MATERIALS' (CCR: 2729.3 )
0 VERIFICATION _ ( 729.4)
,;OF QUANTITIES CCR: 2:
Qk. ❑ VERIFICATION: LOCATION (CCR: 2729.2)
-
PROPER SEGREGATION
OF MATERIAL (CCR: 2704.1)
tJ' E VERIFICATION OF MSDS
AVAILABILITY (CCR: 2729.2(3)(8))
{• . VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1? -0, VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)
.. EMERGENCY PROCEDURES
ADEQUATE (CCR: 2731)
El CONTAINERS PROPERLY
LABELED (CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING
- (CFC: 304.1)
_
0 ❑ FIRE PROTECTION
.. (CFC: 903 & 906)
D SITE DIAGRAM ADEQUATE
& ON HAND 2729.2)
�
ANY HAZARDOUS WASTE ON
SITE? "YES NO .
Sixi-tire of Receipt
e,.�
Explain
POST INSPECTION INSTRUCTIONS•
• Refer to the back of this inspection report r regulatory , _
p p fo gula ory citations and corrective actions
Correct the violation(' .
iolation s noted. above b:
O Y _ Signature {that all violations have be.'
corrected as noted)
• Within 5 days of correcting all of the violations sign and return a co of this page e �o:
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44 I
Bakersfield Fire Dept. Prevention" Services, 210 H Stxeet, California
Date �
White — Business Copy Yellow /, Business Copy to be Sent iii after return. to Coinpliance Pink Prevention Services Copy :
FD2155 Rev 12/11