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FACILITY NAME
IMS�' t "z
INSPECTION DATE
INSPECTION TIME`;' tY'
ADDRESS, C Ce
PH (ONE NO. j NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
1 - 6a (`" 7 �
Consent to Inspect Name/Title
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WROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
(; C=-Compliance V OPERATION
V= Violation; 1,11 Minor
C E R S
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 )
,
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)
f.
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))
( I-1,
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? 8 YES 0 NO
Signature ofRecei t
.;Inspector: 4 X4_4
POST INSPECTION INSTRUCTION:
• 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 iolations have been corrected as noted)
Bakersfield Fire.De t., Prevention Services, 2101 H Street, California 93301 7 `u,
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Y4 } ✓a, ]'w I to rHr Date
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White = Business Copy Yellow. Station Copy 14)
Pink — Prevention Services FD.2155 (Rev 8#