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NSPECTION DATE
INSPECTION TIME
C V = ompiance OPERATION
CERS
y =Violation; 1,11 Minor
ADDRESS jj
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PHONE NO k
NO OF EMPLOYEES
1
.:1
FACILITY CONTACT
3010001
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
M
Consent to Inspect Name/Title
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
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j3,_RO1UTINE 1:1 COMBINED ❑ JOINT AGENCY 13 MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
CERS
y =Violation; 1,11 Minor
violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
M
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)
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)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING � � r "; w: (CFC: 304.1)
`'
FIRE PROTECTION (CFC: 903 & 906)
r
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ,3,-NO
nignature ofRecei
Explain:
Inspector•
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: Signatur
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 8H14)