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FACILITY NAME ""'
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INSPECTIONjDATE
INSPECTION TIME
COMMENT
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
M APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
NL
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
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M APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
NL
BUSINESS 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
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES )'n NO
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Explain _. ?, ; f CA, t s - µ. y
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Inspector:
POST INSPECTION INSTRUCTIONS:
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• Correct the violation(s) noted above by 1
• 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 , t 'i- A -
Date
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White — Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8!114)