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FACILITY NAME
6" 9
INSPECTION DATE
INSPECTION TIME
CORRECT. OCCUPANCY (CBC:401)
ADDRESS
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PHONE NO. ,
NO OF EMPLOYEES
FACILITY CONTACT •
BUSINESS ID NUMBER
Cd'nsent to Inspect Name/Title
C V c= Compliance OPERATION C E R S
V =Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND. (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS, (CFC: 505.1, BMC: 15.52.020)
ANY HAZARDOUS WASTE ON SITE? 11 YES YNO Si nature ofRec'ei t
Inspector: N ,
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, 9/2017)
"
CORRECT. OCCUPANCY (CBC:401)
.
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
`1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
/J
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
102'0002:
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
... a _.
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010'
.,CONTAINERS PROPERLY LABELED (CCR: 66262.34(1], CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
'
$IE HAND (CCR: 2729.2)
DIAGRAM ADEQUATE & ON,
101000,5
ANY HAZARDOUS WASTE ON SITE? 11 YES YNO Si nature ofRec'ei t
Inspector: N ,
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, 9/2017)