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HMBP 4/27/2017
FACILITY NAME CERS INSPECTION DATE, INSPECTION TIME COMMENT ADDRESS APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001 PHONE NO. F NO OF EMPLOYEES M_ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER Consent to Inspect Name/Title t ::;. 'au � ., ,.,,,z .r . �, s. �.. .� y.. ,.. � .: ..,.. a_ :�. -a .. ,. •. 'a'i'd. .:..� ,.:_... �. ix rt.:L. 4.- ;S�' .,r - .:u'.. ,....',....L ._ w:.,. Y,.. .... .,. - ,. .. _ �.. ...: � , a....a.v.. .ti. .. .. ... a",s >.,,.. 7 `l a:.'x 5. : <',,. : ✓. ,€'r;'. &:.€.tsx . . :.'.w,.x;. ,.....;sab�# o- x. ,.a.�. s e? µt,.,, b.:.?,:. �,z.. a'T. .:s .`s• £? t.�. < ..'�'..., tt < � ,. . 'a'ic' <n . ,.. 9 .. ,. .:. ; : ', S,E .. < �� .d : ,d.:ry .0 f.r > f�):•; 'Se'.. �Si„� <, .� � �.a v �1#`,.z, hr �,�_ z s ; ;... .... ,yy,. ..<. ; , ,.s , :. :. -. ; -x , , :: �` fi:r > .. �. F•,i. y,'.: s' � �rti ,K +n . v� ,. as ��; #;. � ,.. �� ,s: 3 ,. . , :.. , , z t . : , , ,� � i`o •ram �::�:� � sr .ro,x . � <X. C`.k ... ,. E, h . .- .c �'� ... 8' C `c ..,: .. < ..✓ � a .. _ .. ,' .F , 3 t :.m' "i "�..,w -:9x .....:5.. r<, x3. �ueaSr�c; z+. �.. �W' �:. �,.' �i' k�:.. �t�:. 3��` ��a�. �xL,. ��.., y.. �a.• a�tv3,.... 4�;:.: ��>. s.,..` sv.. so7: 3,=<. �. z�c� :�c.nb.,u.,..wtw,.d<�raN,�x,. ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C, V = ompiance 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 1 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) k 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 <o CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ NO ii tureofRecei t ,,YES Explain: - Inspector: u r A4 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) h?