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FACILITY. NAME
C E R S
violation
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
ADDRESS �.Y
PHONE NO.
NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
CORRECT OCCUPANCY (CBC: 401)
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❑ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
omp lance
C V OPERATION
V= Violation;1,II Minor
C E R S
violation
.
COMMENT
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 OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
+'
...
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
a
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
zy
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
"t
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)
CFC: 903 & 906
FIRE ..PROTECTION (CFC:
3030032
�.;:�.�
z
CCR: 2729.2
SITE DIAGRAM ADEQUATE & ON HAND ( )
1010005
.Mw
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ANY HAZARDOUS WASTE ON SITE? EL, YES ❑ NO
Oignature ofRecei t1,Y =f
I' ..,
Explain: -,
y
i Zvi a-t. 4 .r
,Inspectors
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 8H14)