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FIRE
SECTION 1: Business Plan and Inventory Program J
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME i t
S
INSPECTION DATE
1a- 2 L -/Z
INSPECTION TIME
20 (0"'
ADDRESS t PHONE N
r _ 5 Sgt'
NO O fv1PLOYEES
BMC: 1.65.080)
1]
FACILITY CONTACT
CCR: 2729.1)
BUSINE ID NUM BER
VISIBLE ADDRESS
Consent to Inspect Name /Title
D
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance) OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
1] BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
D CORRECT OCCUPANCY CBC:401)
El VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
E] VERIFICATION OF QUANTITIES CCR: 2729.4)
0 VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
0 VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
D HOUSEKEEPING CFC: 304.1)
I FIRE PROTECTION CFC: 903 & 906)
E] SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
I
ANY HAZARDOUS WASTE ON SITE? YES NO NO Signature of.ReceiDt
r f ,
Explain:
POST INSPECTION INSTRUCTIONS:
y
7— .j—/
Refer to the back of this inspection report for regulatory citations and corrective actions
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: 1 /
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — 13usiness Copy Yellow— Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy PD2155 (Rev 12/11)