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HMBP 5/22/2017
FACILITY NAME �, �~ INS ECTION DATE INSPECTION TIME g � 21 � COMMENT ADDRESS fy" 5 PHONE NO. NO OF EMPLOYEES FACILITY CONTACT :15.65.080) BUSINESS ID NUMBER Consent to Inspect Name/Title @ ,r:'.�.,ter a:. ., 3. »�,, or� .�� ` '�.�. d Y . � . / � � . <� » 9 afe' � +a . *,. - cF�K. � fi...., � . n ! . aN r � t ? s �: . .., �. . .. e. . . :' . $ ,.:x �. ` .> �.., ',..��<�.v ��S. ? , .k z z '' �. . ..ck ,. ,� ;. '.,....r.� � .r . '.'. ,€..�, a - s m x. €, . wE„ . �'� *. e t. �a'. , ; z. . . z.- . r. . � .rv.a �g`. l .�i .� ,. . s , . . i; .. .:. . , h..", , .� .. r <y."3 ✓A �, r , . > . � , . „v ..,:�.,,,� .,.%3k _.. � . .. .v . n :. , , r . � "" `r . J s��.s "+,� k .. .s .. p* 5 X . , �d- < u .,e _.� s a�r �. .r.:.. s,.:. , .... , . �...<xa ,_ n. .. . .0 r.i Tr. « ..„ ..r -.h . .s r . . 1 Y . .. < ,i>...�� ., � 3.w ,x . .x! ? ,� .. a4. �.. . .. � e*`.. , 4', . , r .., < �.. . ,..Y. .... 3 t� .��. �:.,, � :. , . .� . � , , aa . ��, ? . . 4 r. . <.. , : . , . .. .Y.,. F .. . a.. ` . ".. 1<: rs� �. � :"=7,.'<� . , ,, . ..,`, .b ,.: ' . r S. . n , . r ,kl..e:.r ^..�. � ,. e, .; . � .z. .{..., c..c , .. w. . . ._ .. . . „ . . . . .. , ..:t . . , . .+ � ..3 _.>� . . . . l oh �x �i.: ',.'-n. �5_ ..:, .K.. .N f, ,., ..< �,. „ . uf �. ., . . . ., , �< . w . .� v... „� . . . ,. � . t . . � : �. . h m ..F . „. . ¢ ,r R . Y . p .." s: ..Br.<, „ � v.>„ k ,.. .. N .uz.G . Y .: .f. . rv,.., .4. : s., ; . -=. ' £ £ ..� ; �h . : , i- , 1 n u .: , x .;: ' . {. . e, ! .: ,, <a ...v :,..” .. .e s ,. w ... . .,::k . . ..Y . . . f x ¢s s . , «T .�.. . :r ., .5 , r z. P� '....:.x3s '� i 'x. hn...i,. .:,: � ��. .. Y... '� . . i . a� ., € - 2 a u AS . w . . a z �. r ,.s<,., ... � , ,a,. .. � .r:r� .<..... , . .�. nt ..n.. , 3. G .. 1 f , d k . '._ .3.' F. e��?.,f..� & �. t . 0`' . : l' .;„r : .., ,: < n �,.� ., ...�.. , ,” „. _..,.� . . _ b.. , :y . :. . , ,. . .{ f . < . ,t . k , , De a�,, a. :.nk.. :: 1x z. a . . . :. , .,: . o- � r . . t b '<Y . o �.,0:. w ...: a.' . fi . . , „ . ..� x .. Y . � .r S^x r . r Y o .'.� ..>,.r v w i. � .. v � .a , . . ; sN .: . : � w . .vl � . j”' s� . 10 ,T.. . ..S . .. ✓� . . S .�. .U�:, ...� � �, . :z . . � :, . ai ..".- ,S '. . r 2 � � n 3 f Ns s " ivr s " rf�; $` '£ z k w ��f :+�. .}r... . � .. < x / .9:. :,,. . :s, . 3 i ':'.:#, � £. « �y�. e , .�r5 %. s s.r, s u r .�? e u ,.. �:. ,„. ' ¢Y��. .. � a ti* ,: „ ,s ., ! s ..4 . « .v .�,. . ROUTINE ❑ COMBINED ❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = (;ompiance _OPERATION CERS V =Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BM :15.65.080) 3010001 @ BUSINESS PLAN CONTACT INFORMATION ACCURATE (C R: 2729.1) 1010008 T. i� VISIBLE ADDRESS (CFC: 505.1, BM ('O:15.52.020) w CORRECT OCCUPANCY (CBC: 401)_ VERIFICATION OF INVENTORY MATERIALS (CR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CR: 2729.4) 1010006 VERIFICATION OF LOCATION (CR: 2729.2) PROPER SEGREGATION OF MATERIAL ( FC: 2704.1) x. VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (C R: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 k CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), Cl FC: 2703.5) 3030007 HOUSEKEEPING (CFC:304.1) Y M FIRE PROTECTION (CF(,: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND ( CR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? AXES ❑ NO Signature ofRecei t Explain: h Inspector. w POST INSPECTION INSTRUCTIONS: . • Correct the violation(s) noted above by . «,°” t........... . ,.A._ •: 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 9330 Date White - Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8H14)