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BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS WASTE
Prevention Services
- .UNIFIED PROGRAM CONSOLIDATED FORMS a E R 3 F t
t.:D 2101 H Street
SMALL, QUANTITY HAZARDOUS PINK Bakersfield, ' 'CA 93301
'WASTE GENERATOR INSPECTION
ARM 661-326-, 79 4P. Fax: 661 - 852 -2171
Facility Name: [ a AP �I (�� ` ".� b.w .g „� °a � Date:
Site Address: � § : Time In: Time Out: `
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Owner /Operator: Phone: EPA ID # a
Typeuof Inspection ..
ORoutine 0 Re- inspectton%ollow -up �: Combined Routine Inspection Joint Inspecrion Complaint 0 Focused 0 Other
0 CONSENT TO'INSPECT, GRANTED BY. (Nam ,e / Title):
Inspection may involve obtaining photographs,: review and copying of records, and determination of compliance with hazardous waste handling requirements.
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INSPECTOR
POST INSPECTION INSTRUCTIONS:
• 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;
Bakersfield Fire Dept., Prevention Services, 2101 H St. "Bakersfield, CA 93301
White - Business Copy Yellow- Station Copy