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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V= violation; 1,11 Minor
Violation
7
ADDRESS... :
PHONE NO.
NO OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ecii�on 1 Business Plan and lnrentory rog m
❑ .ROUTINE 171'. COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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5
C V C= Compliance OPERATION
C E RS
COMMENT
V= violation; 1,11 Minor
Violation
7
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT. OCCUPANCY (CBC:401)
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)).
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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(1), CFC: 2703.5)
3030007
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HOUSEKEEPING. (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
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SITE DIAGRAM-,AD EQUATE & ON HAND (CCR: 2729.2)
1010005
ANY ON SITE? ❑ YES 0-11=NO
Si nature ofReceipt
_HAZARDOUS_WASTE
Explain: n
Inspector:` "" a,. • y;,Ayy;r ��} x
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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 9/2017)