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INSPEC�T+'IOwN D TE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1 Business Plan ari�d Inv+�ntory Program
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❑ ROUTINE , ,B' COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ TRE-INSPECTION
C :. V C =Compliance OPERATION C E RS
CQMMENT
V= Violation; I,II Minor : Violation �+
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Inspector•
POST INSPECTION INSTRUCTIONS:
• Correct the violations) noted above by Ir
• 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
t �•
White — Business-Co Yellow- Station Co Prnk' Prevention Services FD2155 (Rev 9/20.17)
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APPROPRIATE PERMiT'ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (.CCR: 2729.1)
3210043
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)
101.0006
VERIFICATION 'OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
- VERIFICATION'OF SDS,AVAILABILITY (CCR: 2729.2(3)(b))
T
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 ft CFC: 2703.5)
3030007,
' "HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
N HAZARDOUS WASTE ON.SITE? ❑YES ❑ NO
Siena ure ofReceipt
Explain:
Inspector•
POST INSPECTION INSTRUCTIONS:
• Correct the violations) noted above by Ir
• 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
t �•
White — Business-Co Yellow- Station Co Prnk' Prevention Services FD2155 (Rev 9/20.17)
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