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FACILITY NAM,E1 INSPECTI q N DATE INSPECTION TIME
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BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
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❑COMBINED ❑JOINT AGENCY El MULTI-AGENCY El COMPLAINT ❑ RE- INSPECTION
C V ompiance OPERATION CERS
v= Violation; 1, Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 d
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VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
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) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND. (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 2"'NO i atureofRecei t
Explain:
Inspector• 1 .
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
FD2155 (Rev 8//14)
White —Business Copy Yellow — Station Copy Pink — Prevention Services