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KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215
BAKERSFIELD FIRE DEPT.
Prevention
B_- E R..;S F_I. ,D
UNIIF[E'D PROGRAM `�IN$'PE- :CT.ION `C:HECMCLI`S1' FARE -0 21:o1.H treet
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v a 977 Bakersfield, CA"9330 -1 1
SECTION `1`: Business Plan and Inventory Program
Tel:: (661) 326 -3979`
Fax: (66'1),S52"'2171
FACILITY NAME
-
INSPECTION DATE
INSPECTION TIME
ADDRESS
336
PHONE NO.
90
NO OF EMPLOYEES
i
FACILITY CONTACT
BUSINESS NUMBER
ID
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Consent to Inspect Name/Title ^ k, 2 ice` t
f: {
S ^
C
�YBus�ness P.Ian and lnuentor P ;rogram
1 r SeGfi>IOn Y
, °'' ❑ .
ROUT INE COMBfNED` ❑ JOINT AGENCY
❑ El COMPLAINT ❑ °RE-INSPECTION
C—Compliance
C V. (.. ) OPERATION
.COMME NT�S ,
fi
,
V =Violation
- _ V
- ❑ APPROPRIATE PERMIT ON,HAND
(BMC: 1.65,.080):
❑. BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
d
❑ VISIBLEADDRESS CFC: 505.1,'BMC: 15.52.020)
` ❑ CORRECT OCCUPANCY
(CBC: 401)
1
.�° ❑ - ',VERIFICATLON OF, INVENTORY MATERIALS
( CCR: 2729.3)
"
El VERIFICATION OF QUANTITIES
(CCR: 2729.4)
NIX ❑ VERIFICATION OF LOCATION
(CCR:2729.2)
❑ PROPER,SEGREGATION OF MATERIAL
(CCR: 27Q4,1)
,
❑ VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(B))
❑ VERIFICATION OF'HAZ MAT TRAINING
'(CCR: '2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(C.CR: 2731))
1+� ❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
\1
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CF.0 2703.5)
.
❑ HOUSEKEEPING
(CFC: 304 ":1)�+
❑ FIRE PROTECTION
"(CFC: 903 & 906)
1
❑ SITE'DIAGRAM ADEQUATE & ON HAND,
2729.2
( CCR: )
A
ANY,HAZARDOUS WASTE ON "SITE? YES ❑ NO
Receipt. y f
,
Explain:
f'5 " f.✓ : [•'iiz
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POST INSPECTION INSTRUCTIONS:
• Refer to the:bacic of this inspection report for regulatory "citations and corrective actions
by Signature (that all violations have been corrected as noted)
• Correct the violations) noted above