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FACILITY NAME s
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INSPECTION ATE `
,
INSPECTION TIME
ADDRESS
,:
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
1,14 0
3
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
=
C V omp lance OPERATION
C E R S
violation
COMMENT
V =Violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1_, BMC:15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OPINVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
.
SO
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(0, CFC: 2703:5)
3030007
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HOUSEKEEPING (CFC: 304.1)
.,
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? [9 YES ❑ NO
Signature ofRecei t
. -
s
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: 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)