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INSPECTION DATE
INSPECTION TIME
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FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ . JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION'
C v C=Gomphance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT.
APPROPRIATE PERMIT ON HAND (BMC 15.65:080)
3010001
ib3 r71? , ,a, d ` � -H" � . e`� KjT
IV
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)
i
Cl
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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``'"` �'"'f`' °
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
�? r .S
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 (CFC: 304.1)
FIRE PROTECTION (CFC: 903 &,906)
3030032
7
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
mac` s� ''
ANY HAZARDOUS WASTE ON SITE? ❑ YES 194NO
Simature ofRecei t
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
o 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 FD2155 (Rev 8//14)