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BAKERSFIELD .FIRE DEPT.
Prevention Services
UNIFIED PROGRA.IN
8... E. R S F I D.
SPECTION CHEC L "IST FIRE
2101 H Street
ARTMr r- Bakersfield, CA 93,301
SECTION. 1: Business Plan and Inventory Program
Tel.: (66.1) 326 3979
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c�') . 852 -2171
FACILITY NAME �- - INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
ADDRESS
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ROUTINE ❑ - COMBINED '�❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ - RE- INSPECTION,
C= Compliance
C V ( ) OPERATION -
V= Violation
COMMENTS
❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.65.080)
n El BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729:1)
❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ CORRECT OCCUPANCY (CBC: 401)
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❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
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❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ ❑ PROPER SEGREGATION OF MATERIAL (CCR: 2704.1)
❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(6))
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❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LAB'ELED (CCR: 66262.34(F), CFC 2703.5)
❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ ` SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
® Within 5 days of correcting 411 of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy Yellow — Busines's Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)