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FACIL TY NAME t
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
720
APPROPRIATE PERMIT ON HAND (BMC:15.65.080 )
IAACILITY,CONTACT
BUSINESS ID NUMBER
1 c ! W 7
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onsenfto Inspect Name/Title
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❑ >fROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080 )
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
101000$;
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 SEGREGATbN OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
1
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
il ,.
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
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
V"ee
1.
ANY HAZARDOUS WASTE ON SITE? ❑ YES ' .,• NO
SignatureofRec t
Explain: f
Inspector: ;'t . `� a .,^ b k
POST INSPECTION INSTRUCTIONSs
� I
• 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 8H14)