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'1OUTINE E] COMBINED ❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
V =Violation; 1,11 Minot
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CR:
2729.1)
1010008
VISIBLE ADDRESS (CFC:505.1, B
C: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 OF MATERIAL
CFO: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR:
2731(c))
+
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
k
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl
CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC:304.1)
FIRE PROTECTION (C
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
i nature of Receipt.,,,, -�
Explain:
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 thi page to: Signature (that all violations have been corrected as'noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933 D1
Date
White – Business Copy Yellow - Station Copy. Pink Prevention Services FD2155 (Rev 8//14)