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INSPECTION BATE
INSPECTION TIME
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MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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NO OF EMPL OYEES
FACILITY CONTACT. Y�
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IN ID NUMBER
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Consent to Inspect Name /Title
COMMENT
V= Violation; 1,11 Minor
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JOINT AGENCY
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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(; V OPERATION
C E R S
Violation
COMMENT
V= Violation; 1,11 Minor
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APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION
ACCURATE
CCR: 2729.1)
1010008
VISIBLE ADDRESS
(CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS
I
(CCR: 2729.3)
1010004
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
(CCR:
2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
LIA
VERIFICATION OF ABATEMENT SUPPLIES
& PROCEDURES
(CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUAT t
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34( 1),
CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION tr` { .. '
( (JFC:
903 & 906).
3030032
.
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SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑
YES M- NO
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Explain:
y
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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 flus page to: Signature (that. all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330.1
Date
White - Business Copy Yellow Station Copy Pi —Prevention Services FD2155 (Rev 8//14)