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HMBP INS 6.9.17
FACILITY NAME INSPECTION DATE INSPECTION TIME V= violation; 1,11 Minor Violation COMMENT ADDRESS PHONE NO. NO OF EMPLOYEES � APPROPRIATE PERMIT ON HAND (BM(": 15.65.080) 3010001 ,. FACILITY CONTACT 2729.1) BUSINESS ID NUMBER 3g VISIBLE ADDRESS (CFC: 505.1, BM : 15.52.020) Consent to Inspect Name/Title 4, � .?<:?(,�. ;� ��.h. ,w.'�s',. x s�✓ s � ,sue r.�..,..^•,�t.'`f` et: acs.. x;: £�� >. ?x .,. r.. `'G ".. ✓., , .� �. ...,T. 2Jn..:a .. :. �. i,�' x<~. ,S. _!. : ,R'� -. "aT.u't`Gi f"<#st:'�.::tc�<�'�sxn. ixa?s�' 1'; ��:::` i<. x�. n�' �%. �:, �� ,�4.�..5<..,�'��:.��2�?,:>�"�' ski. �..;,„ ti,.,,, y'^ t.. e':& �c^, s,. 2r��,��`'<.,,,�F.,w.....�s<3�.. �.w�; <.,, ..w.>rr<�.,:..::fi. «.,., ..n.:°ud >..,...�t'z,.,,. .. cn... f.. ..;s,.,,.�. ?..F;. ✓, <a<x,rs.>,.. .<c- .<an..u.?�b...0 .u,. Cl ROUTINE ❑ COMBINED ❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Compliance OPERATION CERS V= violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BM(": 15.65.080) 3010001 ,. BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BM : 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) *M PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) ;;. FIRE PROTECTION (C C: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES �E] NO Signature ofRecei t 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 iffi p' ge�t1d �' . Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 T Date White - Business Copy Yellow — Station Copy Pink Prevention Services FD2155. (Rev 8H14)