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FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
PHONE NO
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O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
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Consent to Inspect Name/Title
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ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
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C V OPERATION
C E R S
V= Violation; 1,11 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
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
a
(CCR: 2729.2(3)(b))
VERIFICATION Of SDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
tN
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
A .
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
ke
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
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
i nature ofReceipt
Explain:
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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street; California 03301
Date
FD2155 (Rev 8
White — Business Copy Yellow — Station Copy Pink — Prevention Services //14)
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