HomeMy WebLinkAbout4700 coffee bp 8-13-13KERN BUSINESS FORMS (661) 325.5818 46013
BAKERSFIELDt FIRE DEPT.
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�. SECTION BUS111 @SS Plan a�a .InVento :� , Pro 1"�1T1 .
- �` Tel < '(661):3 2 6,3 9..79
Fax: (661).852 -2171
FACILITY NAME
INSPECTION DATE'`
INSP CTION,N,TiM'E
ADDRESS
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FACILITY CONTACT
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❑ ROUTINE ❑ COMBINED JOINT AGENCY ❑ MOLTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECT.fON
C =Compliance
C ( ) OPERATION '
C O ^ MME. NT S
V =Violation
APPROPRIATE PERMIT ON HAND.' (BMC: 15;65.080)
'
SIIleSS' PLANCONTACT INFORMATION ACCURATE '. (CCR :-2729.1)
❑' ." VISIBLE ADDRESS (CFC; 505.1,:BMC: 15:52.020)
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❑.. ''CORRECT OCCUPANCY (c PC:
❑. : VERIFICATION OF INVENTORY MATERIALS (CCR: 2729`3)
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'� VERIFICATION OFQUANTITIES < (CCR:•2729.�4)
❑ VERIFICATI.OWOF LOCATION (CCR: 2729:2)
El, ' PROPER= SEGREGATION "OF- MATERIAL (CFC: 2704.;1)
�' ERIFICATION OF MSDS AVAILABILITY (CCR::2729.2(3)(b))
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VERIFICATION OF-HAZMAT TRAINING' (CCR:'2732j
. "❑ ., VERIFICATION'OFABATEMENT SUPPLIES & PROCEDURES (CCR: 2731'(c))
] ❑ EMERGENCY PROCEDURES - ADEQUATE (CCR: <2731)
TA "LABELED (CCR:.66262.34(f), CFC: 2703,:5)
❑ CY CON,
❑. OUSEKEEPING (CFC: 304:1)
❑ "FIRE PROTECTION (CFC: 903 &,906)
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❑ SIT E,DIAGRAM "ADEQUATE &ON HAND (CCR: 2729 2
AN,Y`HAZAR`D.O`US WASTE ON SITE? ❑ YES ❑ NO.:. ��
Si natureof °Rece'.t
Explain.
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POSTINSPECTION INSTRUCTIONS:
® Signature (that all violations have been :corrected as
Correct the violation(s,) noted above by noted)
w ;rh;n 5 -clays �f correcting ail ofthe violations; sign and re'turn'a copy of this page to: