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FACILITY NAME
INSPECTION, DATE
INSPECTION.TIME
ADDRESS a
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER .
Consent to Inspect Name /itle
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑. COMPLAINT ❑ RE- INSPECTION
C, V = omp lance
;OPERATION..
V= Violation; 1,11 Minor
CERS
Violation
COMMENT
{
APPROPRIATE PERMIT ON HAND. (BMC: 15.65.080)
3010001
f
BUSINESS PLAN. CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS ° (CFC: 505.1, B.MC: 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)
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))
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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
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO,
i nature of R$eei t
Explain:
sgector
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 Co Yellow — Station Co Pink — Prevention Services FD2155 (Rev 8H14)
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