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FACILITY NAME
"t °Y
INSPECTION DATE
INSPECTION TIME '
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ADDRESS }
PHONE NO.
O OE EMPLOYEES
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USINESS ID NUMBER
FACILITY CONTACT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
3010001
1010008
onsent to Inspect Name/Title
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
= omp lance
C' V OPERATION
C E R S
'violation
V =Violation; 1,11 Minor
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
3010001
1010008
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
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VERIFICATION OF LOCATION (CCR: 2729.2)
i.
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
i
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005 ¢
ANY HAZARDOUS` WASTE ON SITE? ❑ YES °I NO
Simture of:Recei t�
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Explain: f(
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violatiog(s�„noted above by
• Within5 days of correcting 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 8 #14)