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FACILITY.NAME
i C
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
COMMENT
BUSINESS ID NUMBER
FACILITY CON ACT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080
3010001
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ROUTINE ❑ COMBLNED. ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
omp lance
C V OPERATION
C E R S
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)
PROPER SEGREGATION QF� MATERIAL (CFC: 2704.1)
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
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
s� ^.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 101000
999"'
ANY HAZARDOUS WASTE ON SITE? ❑ NO i natureof t
�,fES
Explain:.
Inspector: w 'A E_'_1
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 8//14)