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INSPECTION DATE INSPECTION TIME
FACILITY NAME
PHONE NO. NO OF EMPLOYEES
ADDRESS t
BUSINESS ID NUMBER
FACILITY CONTACT
onsent to Inspect Name /Title
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AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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D,. ROUTINE ❑ COMBINED D JOINT AGENCY MULTI -
_ omp lance OPERATION GE R S
COMMENT
C V Violation
V =Violation; I,II Minor #
/APPROPRIATE PERMIT ON HAND ( BMC:15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS - (CFO: 505.1, BMC: 15.52.020)
3010001
1010008
1010004
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:, 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
i
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
a
t
�f
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1010010
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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
i nature of Recei t°
❑ YES ❑ NO •• -�' Xa
ANY HAZARDOUS WASTE ON SITE?
Explain:'.
Inspector:
POST INSPECTION INSTRUCTIONS:
Correct the violations) 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 93.301 Date
FD2155 (Rev 8H14)
White — Business Copy Yellow - Station Copy Pink — Prevention Services