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FACILITY NAME n.
INSPECTION DATE
INSPECTION TIME
4
Violation
ADDRESS
PHONE NO.
NO OF EMPLOYEES
#
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
D N
BUSINESS I UMBER
FACILITY CONTACT
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
= omp lance
C V OPERATION
C E R S
V= Violation; 1,11 Minor
Violation
COMMENT
#
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008»
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
v�
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
:.
VERIFICATION OF LOCATION m;; (CC R: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
a. •i
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
; > -, L
�F
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;w
f°
r"
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? `E]=YES ❑ NO
Signature ofRecei RL,
Explain
Inspector•:
POST INSPECTION INSTRUCTIONS: k
• Correct the violation(s) noted above by `' Y
• 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 8H14)