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INSPECTION DATE
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INSPECTION TIME
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Violation
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ADDRESS CQ
PHONE NO.
NO OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND (BM1MC;1,5.65.: 8th
FACILITY CONTACT,
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BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ENT '& UP ANNUALLY )
210043
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE INSPECTION 4`
C V C OPERATION
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Violation
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COMMENT
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APPROPRIATE PERMIT ON HAND (BM1MC;1,5.65.: 8th
13010001
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ENT '& UP ANNUALLY )
210043
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CERS IN ENTERED !ATED
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VISIBLE ADDRESS (CFC: 505.1, BMC` 15.52.020)
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CORRECT OCCUPANCY (CBC: 401)
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)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
.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(17, CFC: 2703.5)
3030007
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HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
N.Y HAZARDOUS WASTE ON SITE? ❑ YES CNO
Si nature ofReceipt
Explain:
Inspector:
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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)