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BAKERSFIELD FIRE DEPARTMENT `
HAZODOU.S- '.JASTE Prevention Services
UNIFIED PROGRAM CONSOLIDATED FORMS
» E R s F r n 2101 H Street,. 1
SMALL QUANTITY. HAZAR6OUS FIR Bakersfield, CA 93301
$NIA AJlT+iIE f Phone: 661- 326 -3979 s Fax: 661- 852 -2171
WASTE GENERATOR INSPECTION
—. Date:
Facility Name: x
Time In: Time Out:
Site Address: � ., . � ..
Phone:
EPA ID
#
Owner /Operator:
Type of Inspection
nspection/Follow -up l] Combined Routine Inspection d Joint Inspection d Complaint d Focused n Other
n Routine 0 Re- i
a CONSENT TO INSPECT GRANTED BY (Name /Title).
„ t,r0;,,;»rr nhntnoranhs. review and copying of records, and determination of compliance with hazardous waste handling requirements.
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 this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H St. Bakersfield, CA 93301
Yellow Station Copy Pink- Prevention Services Copy
Signature (that all violations have been corrected as noted)
Date
White — Business Copv
FD2171 (Rev 9/14)