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INSPECTION DATE
13 1116" 6
INSPECTION TIME
Violation
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER'
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008,Aegcz,
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"RUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT' ❑ RE- INSPECTION
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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,Aegcz,
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)
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))w3
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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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)
a.
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
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ANY HAZARDOUS WASTE ON SITE? ❑ YES 11 NO
SignatureW Agai I MIN d, IT
Explain: �
Inspector:' �• �•..,,. `
POST INSPECTION INSTRUCTIONS:
• Correct the violations noted above b-�
O 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 8//14)