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FACILITY NAME INSPECTION D INSPECTION TIME
1:7
INSPECTION
ADDRESS HONE NO.
�10 OF EMPLOYEES
7 ,J
FACILITY CONTACT "BUSINESS ID NUMBER
onsent to Inspect Name/Title
LE ROUTINE ❑ COMBINED ❑ JOINTAGENCY
C V G=Coompliance OPERATION
V=Violation; 1,11 Minor
❑ MULTI-AG
CHRS
Viol tion
❑ COMPLAINT ❑ RE-INSPECTION
COMMENT
Inspector.
POST INSPECTION NSAUCTIONSi"'
• Coffec �th violatio4) noted above by
• Within 5 daysofmcorrecting 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 8#14)
I APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
1 301000
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
101
00
3.
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OFI INVENTORY MATERIALS (CCR: 2729.3)
101
00,
fl
VERIFICATION OF QUANTITIES (CCR: 2729.4)
101
OE
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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)
1010C[10
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703-5)
3030
07
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
10100
)5
NY HAZARDOUS WASTE ON SITE? 0 YES NO Silm—atu
re i
plain:
❑ COMPLAINT ❑ RE-INSPECTION
COMMENT
Inspector.
POST INSPECTION NSAUCTIONSi"'
• Coffec �th violatio4) noted above by
• Within 5 daysofmcorrecting 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 8#14)