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INS PECTIOM,DATE
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INSPECTION TIME
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
PHONE NO. 1 -
NO OF EMPLOYEES
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BUS'INESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
BUSINESS ID NUMBER
FACILITY CONTACT
'VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name/Title
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I3 ROUTINE ❑ COMBINED D JOINT AGENCY i] MULTI - AGENCY ID COMPLAINT ❑ RE- INSPECTION
C V C=Qompliance OPERATION
V =Violation; 1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUS'INESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
'VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES, (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
-
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS .WASTE ON SITE? ❑ YES -rF1., -,N0
Signature (ifReceii t _
Explain:
Inspector:r.o , rt
POST, INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8014)