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" INSPECTION DATE INSPECTION TIME
FACILITY NAME
'
ADDRESS PHONE NO. I NO OF EMPLOYEES
~ USINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
El COMBINED y � ❑ � ❑ _
JOINTAGENCY MULTI- AGENCY ❑COMPLAINT RE-INSPECTION
C V U= omplance OPERATION
V= violation; I,11 Minor
APPROPRIATE' PERMIT ON HAND (BMC:15.65.080
' BUSINESS PLAIV,CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
CERS
Violation
#
COMMENT
3010001
1010008
,
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
1010006
,w ter"
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))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
tp
1010010
3030007
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
HOUSEKEEPING 5'y (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
rxp HAZA RDOUS WASTE ON SITE? Q)YES ❑ NO
un:
3030032
1010005
i tureofRecei t
A
Inspector: ., - � R t n. ,, �
POST INSPECTION INSTRUCTIONS:-
• Convect the violation(s) noted above by d
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: 4 j ;.Signature cthatall violations have been corrected as noted)
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Bakersfield Fire Dept., prevention Services, 2101 H Street, California 93301 Date
y'FD215S (Rev 8//14)
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