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INSPECTION DATE {
INSPECTION TIME
ADDRESS
1,7 00
PHONE NO.
NO OF EMPLOYEES
FAC LITY CONTACT
BUSINESS ID NUMBER
onsent =to Inspect Name /Title
C V Compliance OPERATION
C E RS
V= Violation, I,II 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)
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 OFSDS AVAILABILITY (CCR: 2729.2(3)(b))
,VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF.ABATEMENT SUPPLIES & PROCEDURES (CC R: 2731 (c))
t..
_
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5),
3030007
HOUSEKEEPING (CFC: 304.1)
4n
FIRE PROTECTION (CFC: 903 & 906)
_
3030032"
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 31"N0 lSiLynature
- ofRecei
Explain:
Inspector: "` `1s% 4
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POST INSPECTION INSTRUCTIONS: ill
• 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: Signatu a that all violations have been corrected as noted)
Bakersfield Fire Dept.,-Prevention Services, 2101 H Street, California 93301
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Date
Whyte — Business Copy Yellow - Station Copy Pink - Prevention Services " FD2155 (Rev .9 /2017)