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INSPECTION DATE
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FACILITY CONTACT ,<
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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0 r� ROUTINE: 11 COMBINED. E1 .JOINT AGENCY MULTI- AGENCY ❑' COMPLAINT '❑ RE- INSPECTIQN
C. V C= Compliance
OPERATION
COMMENTS
V= Violation
0 Er, APPROPRIATE PERMIT ON HAND BMC: 15.65.080
Business
El PLAN CONTACT INFORMATION ACCURATE . (CCR:. 2729.1)
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R, ❑ VISIBLE ADDRESS (CFC: 505.1, BMC 15.52.020)
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0 D CORRECT OCCUPANCY (CBC: 401)
0�j ❑ VERIFICATION OF INVENTORY' MATERIALS (CCR: 2729.3)
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0.;+ ' :. ❑ VERIFICATION OF QUANTITIES CCR: 2729.4
Q ❑ ' VERIFICATION OF LOCATION b (CCR: 2729.2):
PROPER SEGREGATION OF MATERIAL . (CFC: 2704.1)
❑ VERIFICATION
OF MSDS AVAILABILITY :(CCR; 27292(3) (b))
`
D ` ` VERIFICATION
TRAINING
OF HAZ MAT � (CCR: 2732)
'
E ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES .:> ,.(CCR: 2731(c))
[J. ❑' EMERGENCY PROCEDURES ADEQUATE .. (CCR: 2731)
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`'4 ❑ CONTAINERS PROPERLY LABELED CCR: 66262.34 ( f), CFC: 270.3.5
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HOUSEKEEPING (CFC: 304.1)
El 1:1 FIRE PROTECTION
' {CFC: 903 & 906)
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�# b El SITE DIAGRAM ADEQUATE.& ON HAND (CCR: 2729.2)
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POST INSPECTION INSTRUCTIONS:
Correct the violations) noted above by
Signature (that all violations have been
corrected as noted)
'I Within 5 days of correcting all of,the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
- Date
- White — Btis ness Copy
Yellow - Business Copy to be Sent in :after reftim to Compliance Pink — Prevention Services Copy
FD2155 (Rev 6//10)