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S E C T I N 1: Business Plan and Inventory Program
B E R S F 1 8 L D
FIRE
If ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: -(661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
7' `/Z v 3v
ADDRESS PHONE NO. NO OF EMPLOYEES
1 2 z 0 Z/ JCL 2C it
FACILITY CONTACT BUSINESS ID NUMBER
l VISIBLE ADDRESS
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1 .65.080)
Vf BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
l VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
Q VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
IX CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
16 HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SfSJl / CIT t ' vrS.AltfZS
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES V9 NO SienatureofReceiat
ICU
Explain:
POST INSPECTION INSTRUCTIONS:.
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 ofthe violations, sign and return a copy of this page to: -
Bakersfield Fire Dept., Prevention: Services, 2101 H Street, California 93301
Date
While —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink Prevention Services Copy 171)2155 (Rev 12111)