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INSPECTION'PATE
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INSPECTION TIME
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PHONE NO.
ADDRESS
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NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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b ROUTINE ❑ COMBINED' ❑ JOINT =0 Air
AGENCY ❑ MULTI- AGENCY COMPLAINT ED R RE-INSPECTION
C V C=Comphance OPERATION
CERS
V =Violation; I,I► Minor
Violation,
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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VISIBLE ADDRESS . (CFC: 505.1,. BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004.
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
r-
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
E
VERIFICATION OF HAZ MAT TRAINI G .3 (CCR: 2732)
1020002
I ,...
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
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
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1010005
NY HAZARDOUS WASTE ON SITE? °D YES ❑ NO i ure of. Recei
Explain:.
Inspector• s . ..
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 — Business Copy Yellow — Station Copy Pink .- Prevention Services FD21.55 (Rev RM dl