HomeMy WebLinkAbout1903 COMMERCIAL WAY 5-21-19 HMBPFACILITY NAME
R N _. :.:., 3 :�.r a:,. ,.,., .... r} .,.ter. 2 r f. .., h.,;
. 3. �.. .3. xr r `>`. i
'. 4:
INSPECTION/ DATE
INSPECTION TIME'
P E RA
10
s R an
.::;.
1. . ... 3.. ..1#. .... ,,
�d
` f
Pr..o ram
CE RS
COMMENT
ADDRESS
I
�
};andNlnven:tor
r
NP
!
t
13 C011INED
❑ J
PHONE NO.
NO OF EMPLOYEES
NC
❑
MULTI-AGENCY
El COMPLAINT El RE-INSPECTION
FACILITY CONTACT
BUSINESS ID NUMBER
g
�+i
R
1 F,:
F
r
�
!
APPROPRIATE
ERMI
.F °.'yh `-' �.FPdk "� ,i 3'. /`
.. i
�
{BMC:
15.65.080)
3010001
, i,r✓ >
Consent to Inspect Name /Title
CERS INFOR
L
4T, ERED &'
PDA
I
At
U L
Y (C
r
R: 2729.1)
R N _. :.:., 3 :�.r a:,. ,.,., .... r} .,.ter. 2 r f. .., h.,;
. 3. �.. .3. xr r `>`. i
'. 4:
S xfi S}
C V C =Compliance
P E RA
10
s R an
.::;.
1. . ... 3.. ..1#. .... ,,
�d
` f
Pr..o ram
CE RS
COMMENT
V= violation; I,il
!(
nor
};andNlnven:tor
r
NP
ROUTINE
13 C011INED
❑ J
N
AG
NC
❑
MULTI-AGENCY
El COMPLAINT El RE-INSPECTION
C V C =Compliance
P E RA
10
!
CE RS
COMMENT
V= violation; I,il
!(
nor
9
Violation
f
APPROPRIATE
ERMI
N HAND `
{BMC:
15.65.080)
3010001
CERS INFOR
ATION
4T, ERED &'
PDA
D
At
U L
Y (C
r
R: 2729.1)
3210043
{
VISIBLE ADDRESS
C
C
105.1, BMC:
15.52.020)
CORRECT OCCIi
PANG
(CBC: 401)
VERIFICATION
F 1NV
ORY MAT
RIAL
(C
R: 2729.3)
1010004
3
�
VERIFICATION'
F QU
N ITIES
(C
R: 2729.4
1010006
5
VERIFICATION,
F LOC
ION
(C
R: 2729.2)
PROPER SEG
GATI
N OF MATERIAL
(C
C: 2704.1)
` VERIFICATION
F:SDS
AILABILIT
(CC 1:27
9.2(3)(b))
VERIFICATION'
F HAZ
T TRAINING
;
(
CR: 2732)
1020002
VERIFICATION
F,ABA
MENT SU
PLIES
P
E
ES I (CC
: 2731.(c))
m
EMERGENCY
OCED
ES ADEQ
ATE
(CR:
2731
1010010
CONTAINERS
OPER
LABELED.
CC;
:E6162.340,
C
C: 2703.5)
3030007
HOUSEKEEPIN
(
FC: 304.1)
FIRE PROTECTION
(CFC:
903,& 906)
3030032
SITE DIAGRAM
DEQU
iE &AN H
ND
i
r
(C
R: 2729.2)
1010005
NY HAZARDOUS WAST
ON SI
E?
❑
E
.`
ND
Si
nature ofRecei t
Explain:
Inspector:
TIO
S
POST INSPECTION INSTR
e Correct the violation(s) n
ed above
y
sign
r
a
• Within 5 days of correctin
a3 of
violations,
�y of this p
ge o:
Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept.; `
eventi
n ervices 2
01 H
re
t , C
fli 7omia
93301
;
Date
White = Busin
ss Cop
`'Yellow
- Stati
n
o _
Pink - P
vention Se
ices FD2155 (Rev 9/2017)