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1222 E CALIFORNIA AVE 5-1-19 HMBP
` BAKERSFIELD EIRE DEPT, 1 10 ® Prevention Services i UNIFIED P ®G AM NSECTIO j HEC LIST' .10 B _A . E R_, S F I D ^F1�E' 2101 H Street � n � ^ � • RTM T. Bakersfield, CA 93301 SECTI ®N.. ~7.: z Bus he Plan'and n ! ry Program Tel.: (661) 326 -3979 k + Fax: , (661) 852 -2171 INSPECTION DATE INSPECTION TIME FACILITY NAME I i ! il� '•w -, jf'y. #Y.1.. Sw d... I - + i, d • i ,. 3y. ADDRESS PHONE NO. NO.OF EMPLOYEES :.?" ."E i.w" `c �„°Y'•- "w� -�r. C"6 _11 V i, "�:i�„ bw,,i ra4�"".�i a ¢{pp a'Si "' y .' .. 8{ i ,'F'� $ w`."P'"' I .f�W` .G" t,.... -. FACILITY CaCT;y BUSINESS ID NUMBER Consent to Inspect Name /Title ' t f E r E k t "h r : j f yy h , t. h Wy - - R y, s .r fr t sw ji nl w ,w 5ec�� � a� �ss..P.aanandl !x k , Y,.. ram s e+ne Pra .. .. k ' ROUTINE = C0 INED ❑ J INT N Y MULTI-AGENCY ❑ COMPLAINT ❑ RE INSPECTION' OPERATION. COMMENTS .. C. V c= Compuanc' V= Violation ( _ I k% € ❑ i`y APPROPRIATE ERMI N HAND ( BM : 15 65.080 J- W' z a,, ��� a<w� -�r }- ❑ Business PLAN A T INFORMATIO A- CUR TE ( CR 2729.1 - -. . 4 �' ❑ VISIBLE ADDRESS ( C 505.1, B C: -15 ±52.02) , , , ¢� El El CORRECT OCd J PAN i (CBC: 401) ❑" VERIFICATION 4 F INVENTORY MATERIAL i CCR:;2729: ) ❑ ❑ ` VERIFICATION:. )F QU TITIES i I CCR:12729. ) k3 ii ❑ VERIFICATION ,, F LO A ION CCR 2729. ) ❑ PROPER SEGR!EGATI0 it OF MATERIAL i i CFC ;2704.1) [' El VERIFICATION ; F MS AVAILABILITY (CCR - 2729.2(3)(b ) I El VERIFICATION F HA AT TRAINING ' d ❑ VERIFICATION b F AB T MENT SUPPLIE & P C URES ( CR 2731 (c ) i ©, ❑ EMERGENCY'P OCE U " ES ADEQUATE (CCR: 273 1) f . ❑ CONTAINERS R6'PE L LABELED ( ( 6262.34(f) CFC` 2703.5) F( }0 ❑ HOUSEKEEPIN (CFC: 304. t ID ❑ FIRE PROTECT; ON (C C: 903 & 90) •11 ❑ SITE DIAGRAMi ADEQLIf E & ON HAND (CCR: 2729.2) ANY:.HAZARDOUS WAST ON T E'� IJ , ; E ❑ N O Si' afore oi$Recei r gg p( Explain i s POST INSPECTION INSTRU C TXO P T55 • Correct the violation(s) noted abo e by +' Signature (that all violations have been corrected as noted) ( • Within 5 days of correctin" all' of h violations, sign a dare ` ; a opy of thi page to: - Bakersfield Eire Dept., Pre'; eniion Services, 2101 H S re -t, C ift o m is 9330 { t Date White - Business Copy I Yellow B siness Copy to be Sent n. i e r to t' Compliance Pi k- Prevention Services Copy FD2155 (Rev 6//10)