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4200 STINE RD STE E_HMBP 6.10.19
FACILITY NAME INSPECTION DDATE _ a r:,, (.+}f� COMMENT INSPECTION TIME f! ✓" # pkwy yam} //ZjLL ¢ t-a i l�a .T y , T" e 3010001 Jf ADDRESS _ PHONE NO_. " BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) NO OF EMPLOYEES FACILITY CONTACT. BUSINESS ID NUMBER`' VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) Consent to _Inspect Name/Title CORRECT OCCUPANCY (CBC: 401) - ..._zS. J`. .....:. -. ,�" .... :'4f,. ". J„ � .:. l.. .... ,.,r.. :.a :'- "':'r, .: ,:.. od, ...... -,. :r •.4r... l..?" 1. :' ". .':�' ., •. .:. :" e„ .f,` .,, ... N e i _ ,±..✓ ...:.._ �.. ..._ �.. « lA:... �.. _G y -_ ' . .. N en . _en. .. .. _e!* ., . _el..i,9:.3 � . _e! .. N ._.. ✓ .. rm. Plank.. �� ) a:' )� 2 i' ) �^ i '? i.' �,> - s•,.,a,. `� �z[ � pr �' *- Yu 'ti is -_LJ 'atn i 5 '.rh- .'�'�" i. >'�. i., �,Srx :AKA ✓� e.ii. -. ..vxr �k�4, �7<ir.�w -�... f� x, . rv,..�c.':_,,,�*n:.,3$a��,' l�mn..d„>;. ..F �a><. 1aik .M- Lv.,-�.,,,T'r,r� - ,.a,... - ..'.s,. �.3 ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ° ompiance OPERATION V= Violation; 1,11 Minor CERS Violation COMMENT s� APPROPRIATE PERMIT ON HAND (BMC:15.65.080). 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 -x, VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION:OF LOCATION (CCR: 2729.2) 1 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 i CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5) 3030007 . HOUSEKEEPING (CFC: 304.1) 1 FIRE PROTECTION (CFC 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729 2) 1 ` ,1.010005 ANY HAZARDOUS WASTE ON SITE? IVES ❑ NO Signature ofRecei tw x , f � Explain: .. Inspector:"° = ... POST INSPECTION INSTRUCTIONS` ` • Correct the violation(s) noted above by , • Within 5 days of coecting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept.,` Prevention Services, 2101 H Street, California 93301 Date White Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 8H14)