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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO..:
NO OF EMPLOYEES
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BUSINESS ID
FACILITY CONTACT
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Consent to Inspect Name /Title
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,F ... . ...... MULTI-AGENCY ❑ COMPLAINT, ❑ RE INSPECTION
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❑'� ROUTINE ❑ COMBINED ❑ JOINT AGENCY
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C V. OPERATION
C E R S
Violation.
COMMENT
V= Violation; 1,11 Minor
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)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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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 .
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VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR: 2731(c))
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
•3030007
HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
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Explain:
Inspector: .. c t :t= i�""`4
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 — .RllSiness Conv Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 8//14)