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BAKERSFIELD FIRE DEPT.
FACILITY NAME
CERS
INSPECTION DATE
', -I
INSPECTION TIME
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ADDRESS
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080
3010001
PHONE NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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®� ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
CERS
V= Violation; 1,11 Minor
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)
-q
PROPER SEGREGATION OF MATERIAL (CFC: 2704:1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
,he
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
;w
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
,ti •4,
HOUSEKEEPING (CFC: 304.1)
r
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FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND ( CCR: 2729.2
1010005
'µG
ANY HAZARDOUS WASTE ON SITE? 4,0 YES ❑ NO
Signature ofRecei t
Explain:
;
Ins
Tom,, g,, !
pector: r °
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POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by ` I
• 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)