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HMBP INSP 2018
FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ` PHONE NO. NO OF EMPLOYEES o FACILITY CONTACT BUSINESS ID NUMBER 10 7- f F I rYiJ Consent to Inspect Name /Title ln, { .. :. _. ,< €:5 ,» s. �,. .... Y. ... Z k . >,:..:.,r r..,....a ,J/' - .v,,.. ,' <.:.i ..::: ...'.:: A .... .2 ..'�i.: '. Z• d:;, ,C.'.. r✓,... 3 ,L $ aa 1. ..r-.. ... <. e ...t. c.. s s �v '�:. z. ,. ,...ea h.n..�..,,, ,.a>r ■ ...,. ?.. �, .,... :. #. ,e....v �.. ,w. 'c >r<...;.>. ... '.; -: �£ �, j�j �'M. <,e ,+ Y.. �. ,.:.:: '. r.... .. R , �1s :, 5 .. x s ✓ :.r :�, r':'a f A 1,. .., .:.. 3m #'. a '� h - � Y:. $.. p� /. ■MZ, �, 4�x i. f+7, '$ �,. ���I� �4Mi�'rY��.!M7i '�1y►s,��ii4� �II�� ��Y� Pile „W, .:� ... .a,.;, .,... 4. .. ,wa >.... ,.. .: .. ... . ::;��1! 5, .. ,,., .. g. sx. .Q ..`y. ... ,i : , ,fi .>. .�. ,Y ::: ;.. .;III #..� R. ..»:' l�fr �.,c ,cc ...R`.. #,.'z. ,..v. :. :.�..G:,rs` .. �,>,,,bx')d #. �... vd:,[r t.r .r , ..: 'z .rE.. ^.�`. ✓'2.. :, "Sr �{:x..:a,W „4».e ,.rl :. , ».c.., , :.:. .r „. v.,. .. z , �..... v.'',..a 9: v � z ,. wY rl � .'�w.. ,r, .; �\£.�J.. E'w �` .,'Sr. .'E�:R'�„Y,' �,\ ,bR._ «r'�rau.,�z.. 1Z ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C. V C=Gompliance OPERATION CERS 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 (OCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 Y 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 4.� 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) FIRE PROTECTION' (CFC: 903 & 906) 3030032 z SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES n-,NO Signature ofRecei t Explain:4 ,a 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 93301 ' Date White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8/114) j